Individual
KIMBERLY ASHLIE VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2136 WALLACE AVE APT 477, BRONX, NY 10462-2512
(347) 736-2907
Mailing address
2136 WALLACE AVE APT 477, BRONX, NY 10462-2512
(347) 736-2907
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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