Individual
ELSIE VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8945 GOLF LINKS RD, OAKLAND, CA 94605-4124
(510) 317-1444
Mailing address
2519 E 17TH ST, LONG BEACH, CA 90804-1508
(562) 357-5965
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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