Individual
JAMES VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8304 WALNUT GROVE RD, CORDOVA, TN 38018-6869
(901) 417-7434
Mailing address
8304 WALNUT GROVE RD, CORDOVA, TN 38018-6869
(901) 417-7434
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13054
TN
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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