Individual
LUIS VILLASENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 2ND AVE SW, ALBANY, OR 97321-2482
(503) 751-3048
Mailing address
1845 JUNTURA CT S, SALEM, OR 97302-2348
(503) 983-1192
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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