Individual
GRANDELYN DAGATAN VILLAREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8615 KNOTT AVE STE 1, BUENA PARK, CA 90620-3870
(714) 236-9355
Mailing address
8615 KNOTT AVE STE 1, BUENA PARK, CA 90620-3870
(714) 236-9355
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC14366
CA
Other
Enumeration date
10/03/2025
Last updated
11/06/2025
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