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DUSTIN VILLANUEVA DANCEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
8575 KNOTT AVE, BUENA PARK, CA 90620-3850
(714) 262-7557
Mailing address
7430 CRESCENT AVE APT 201, BUENA PARK, CA 90620-3866
(626) 327-0856

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50207
CA

Other

Enumeration date
10/29/2021
Last updated
10/29/2021
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