Individual
ALEXA VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 W FRANKLIN ST, SHELTON, WA 98584-3504
(136) 076-3561
Mailing address
627 W FRANKLIN ST, SHELTON, WA 98584-3504
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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