Individual
MS. JACQUELINE DEBBIE VILLALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 PARNASSUS AVE # A633, SAN FRANCISCO, CA 94143-2202
(415) 476-6843
Mailing address
400 PARNASSUS AVE # A633, SAN FRANCISCO, CA 94143-2202
(415) 476-6843
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A107217
CA
Other
Enumeration date
04/15/2009
Last updated
12/01/2021
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