Individual
DR. KENDRICK VILLANUEVA GO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3458 NEELY RD, MC GUIRE AFB, NJ 08641-5312
(609) 754-9492
Mailing address
3458 NEELY RD, MC GUIRE AFB, NJ 08641-5312
(866) 377-2778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL3497
NV
207Q00000X
Family Medicine Physician
Primary
MD-22328
HI
Other
Enumeration date
03/09/2020
Last updated
10/18/2023
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