Individual
EDVIN VILLAGRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 E GLENWOOD AVE, FULLERTON, CA 92831-3003
(714) 476-8993
Mailing address
2001 E GLENWOOD AVE, FULLERTON, CA 92831-3003
(714) 476-8993
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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