Individual
DIANA MICHELLE VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9570 CENTER AVE STE 110, RANCHO CUCAMONGA, CA 91730-5842
(909) 980-2789
Mailing address
9570 CENTER AVE, RANCHO CUCAMONGA, CA 91730-5842
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
10/18/2022
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