Stephanie Marie Villanueva

NPI #1336803246 in El Centro, California

Provider Information

NPI Number: 1336803246
Entity Type: Individual
Name: Stephanie Marie Villanueva
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 26, 2021
Last Updated: Oct 26, 2021

Practice Location

Address: 1802 N IMPERIAL AVE STE D130
City: El Centro
State: California
ZIP Code: 92243-1325
Phone: (000) 000-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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