Individual
MICHELLE VILLERAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
6955 N DURANGO DR UNIT 1011, LAS VEGAS, NV 89149-4412
(310) 686-7794
Mailing address
6955 N. DURANGO UNIT 1011, LAS VEGAS, NV 89149
(310) 686-7794
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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