Individual
MRS. GABRIELA E VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
126 LAGOS AVE, LAREDO, TX 78045-7736
(956) 740-6104
Mailing address
126 LAGOS AVE, LAREDO, TX 78045-7736
(956) 740-6104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
619008
TX
171M00000X
Case Manager/Care Coordinator
Primary
619008
TX
Other
Enumeration date
03/04/2010
Last updated
07/06/2010
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