Individual
DIOSYL VILLAFUERTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 6TH AVE SE STE 201, LACEY, WA 98503-1042
(360) 459-8311
Mailing address
4200 6TH AVE SE STE 201, LACEY, WA 98503-1042
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
60282551
WA
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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