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Individual

RANDY VILLARREAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1239 CEDAR RD, CHESAPEAKE, VA 23322-7103
(757) 549-9935
(757) 312-0617
Mailing address
PO BOX 758963, BALTIMORE, MD 21275-8963
(804) 968-5700
(804) 217-7991

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57.013819
OH

Other

Enumeration date
12/17/2007
Last updated
10/23/2012
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