Individual
STEPHANIE JASMINE VILLALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RRT-NPS
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-4011
Mailing address
451 E ROWLAND ST APT 29, COVINA, CA 91723-2754
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
—
—
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
37405
CA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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