Individual
MRS. ANDREA SUZARA VILLACARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
701 E HARVARD ST APT 9, GLENDALE, CA 91205-1174
(562) 673-0701
Mailing address
701 E HARVARD ST APT 9, GLENDALE, CA 91205-1174
(562) 673-0701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95005473
CA
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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