Individual
CARMEN DIANA VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
71780 SAN JACINTO DR BLDG I, RANCHO MIRAGE, CA 92270-5516
(760) 568-3461
Mailing address
71780 SAN JACINTO DR BLDG I, RANCHO MIRAGE, CA 92270-5516
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
790228
CA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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