Individual
MRS. LUZMINDA VILLANUEVA PIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9240 S MCCALL AVE, SELMA, CA 93662-9776
(559) 999-0150
(559) 896-3435
Mailing address
9240 S MCCALL AVE, SELMA, CA 93662-9776
(559) 999-0150
(559) 896-3435
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
109273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EPS011140
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
10/10/2007
Last updated
10/10/2007
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