Individual
MIRNA G VILLATORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
11100 SEPULVEDA BLVD, # 232, MISSION HILLS, CA 91345
(818) 388-3917
(818) 810-5489
Mailing address
11100 SEPULVEDA BLVD, # 232, MISSION HILLS, CA 91345
(818) 388-3917
(818) 810-5489
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
RDHAP 351
CA
Other
Enumeration date
07/06/2011
Last updated
07/10/2011
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