MR. Michael Villaverde Villanueva, PA-C

NPI #1316909757 in Perris, California

Provider Information

NPI Number: 1316909757
Entity Type: Individual
Name: MR. Michael Villaverde Villanueva, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 3, 2006
Last Updated: Dec 23, 2021

Practice Location

Address: 126 AVOCADO AVE STE 207
City: Perris
State: California
ZIP Code: 92571-2605
Phone: (951) 657-0544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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