Individual
DEBBIE FUENTES VILLENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1334 CAROL PL, NATIONAL CITY, CA 91950-4107
(619) 977-5006
Mailing address
1334 CAROL PL, NATIONAL CITY, CA 91950-4107
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
186090
CA
Other
Enumeration date
04/23/2007
Last updated
05/18/2011
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