Individual
MS. SARA INGRID VILLACORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2256 GLOVER PL, LOS ANGELES, CA 90031-1129
(619) 955-3506
Mailing address
2256 GLOVER PL, LOS ANGELES, CA 90031-1129
(619) 955-3506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
538013
CA
367A00000X
Advanced Practice Midwife
Primary
1833
CA
Other
Enumeration date
11/20/2005
Last updated
09/26/2008
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