Individual
MICA T VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT-1
Contact information
Practice address
657 HICKEY BLVD, DALY CITY, CA 94015-4371
(415) 318-0314
Mailing address
657 HICKEY BLVD, DALY CITY, CA 94015-4371
(415) 318-0314
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT-02460261
CA
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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