Individual
MRS. YESENIA D VILLALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0173
(305) 845-0306
Mailing address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0173
(305) 845-0306
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3421002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307046800
—
FL
Enumeration date
09/20/2006
Last updated
02/28/2013
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