Individual
SIMON VILLALOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LEP4493
Contact information
Practice address
3515 PRESCOTT AVE, CLOVIS, CA 93619-2016
(559) 273-9303
Mailing address
3515 PRESCOTT AVE, CLOVIS, CA 93619-2016
(559) 273-9303
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP4493
CA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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