Individual
KRIZIA VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 S BROOM ST, MADISON, WI 53703-4076
(608) 845-1306
Mailing address
316 S BROOM ST, MADISON, WI 53703-4076
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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