Individual
ALFONSO VILLANUEVA PASTORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
11890 PARK AVE, ARTESIA, CA 90701-5806
(562) 376-0176
Mailing address
11890 PARK AVE, ARTESIA, CA 90701-5806
(562) 376-0176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95005026
CA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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