Individual
JOSE VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
2751 NAPA VALLEY CORPORATE DR BLDG B, NAPA, CA 94558-6216
(707) 227-3900
Mailing address
2751 NAPA VALLEY CORPORATE DR BLDG B, NAPA, CA 94558-6216
(707) 227-3900
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37657
CA
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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