Individual
MARIAN VILLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
320 COMMONS PARK DR, CAMARILLO, CA 93012-7727
(806) 773-0493
Mailing address
320 COMMONS PARK DR, CAMARILLO, CA 93012-7727
(806) 773-0493
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95016020
CA
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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