Individual
PATRICIA GUADALUPE VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8800 WILLIS AVE UNIT 10, PANORAMA CITY, CA 91402-2166
(818) 941-5632
Mailing address
8800 WILLIS AVE UNIT 10, PANORAMA CITY, CA 91402-2166
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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