Individual
HELEN VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5234 E BALCH AVE, FRESNO, CA 93727-4002
(559) 579-8463
Mailing address
5234 E BALCH AVE, FRESNO, CA 93727-4002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
797657
CA
164X00000X
Licensed Vocational Nurse
VN110960PNHP
CA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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