Individual
DANTE VILLAMIL ERESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
935 SPRING ST # B, PLACERVILLE, CA 95667-4543
(530) 621-6213
Mailing address
935 SPRING ST # B, PLACERVILLE, CA 95667-4543
(530) 621-6213
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
510972
CA
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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