Individual
MR. CARLOS QUITO VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
739 EASTBURY DR, ESCONDIDO, CA 92027-4010
(760) 294-9773
(760) 294-9481
Mailing address
739 EASTBURY DR, ESCONDIDO, CA 92027-4010
(760) 294-9773
(760) 294-9481
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN1665990
CA
Other
Enumeration date
06/10/2013
Last updated
06/17/2013
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