Individual
JESSICA VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
7324 SOUTHWEST FWY, STE 1550, HOUSTON, TX 77074-2012
(832) 804-8796
Mailing address
969 IROQUOIS DR, DAVENPORT, IA 52804-4118
(701) 320-1540
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000449
IL
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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