Individual
JASMINE VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 MEDINA DR, PACHECO, CA 94553-6320
(925) 567-4046
Mailing address
8945 GOLF LINKS RD, OAKLAND, CA 94605-4124
(925) 567-4046
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
04/18/2025
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