Individual
ALYSSA JAIME NICOLE VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E 13TH ST, MERCED, CA 95341-6211
(209) 385-7311
Mailing address
10325 CAMPODONICA RD, BALLICO, CA 95303-9700
(209) 355-9974
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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