Individual
MRS. DANIELA VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
17609 WICKMAN PL, SAN LORENZO, CA 94580-1778
(510) 847-5517
Mailing address
17609 WICKMAN PL, SAN LORENZO, CA 94580-1778
(510) 847-5517
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 605
CA
Other
Enumeration date
12/11/2015
Last updated
01/20/2016
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