Individual
DAISY VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10431 COMMERCE ST STE A, REDLANDS, CA 92374-0110
(909) 735-7654
Mailing address
10431 COMMERCE ST STE A, REDLANDS, CA 92374-0110
(909) 735-7654
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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