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Individual

KATHERINE VILLANUEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2080 CENTURY PARK E STE 610, LOS ANGELES, CA 90067-2009
(310) 842-4811
Mailing address
13650 MARINA POINTE DR UNIT 702, MARINA DEL REY, CA 90292-9288
(562) 237-4979

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95009832
CA

Other

Enumeration date
11/28/2018
Last updated
11/28/2018
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