Individual
LIZBETH VILLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
2401 VIRGINIA AVE APT 111, SANTA MONICA, CA 90404-5187
(310) 403-6376
Mailing address
2401 VIRGINIA AVE APT 111, SANTA MONICA, CA 90404-5187
(310) 403-6376
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-693
CA
Other
Enumeration date
04/29/2018
Last updated
04/29/2018
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