Individual
MR. VICTOR MANUEL VILLAR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
138 S LARK ELLEN AVE, COVINA, CA 91722-4136
(562) 318-7320
Mailing address
138 S LARK ELLEN AVE, COVINA, CA 91722-4136
(562) 318-7320
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
CA
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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