Individual
CHRISTIAN LABRA VILLENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1000
Mailing address
12120 SUNSET POINT CIR, WELLINGTON, FL 33414-5594
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2022
Last updated
06/21/2023
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