Individual
JAY B VILLANUEVA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 N RAINBOW BLVD, STE 215, LAS VEGAS, NV 89107-1189
(800) 875-8455
(702) 948-7616
Mailing address
800 N RAINBOW BLVD, STE 215, LAS VEGAS, NV 89107-1189
(800) 875-8455
(702) 948-7616
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/04/2006
Last updated
07/09/2007
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