Raquel Ysabel Villasenor, LMT, NCBTMB

NPI #1386082055 in Fort Mohave, Arizona

Provider Information

NPI Number: 1386082055
Entity Type: Individual
Name: Raquel Ysabel Villasenor, LMT, NCBTMB
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT, NCBTMB
Enumeration Date: Jun 4, 2013
Last Updated: Jun 4, 2013

Practice Location

Address: 5630 S HIGHWAY 95
Address 2: #3B
City: Fort Mohave
State: Arizona
ZIP Code: 86426-6041
Phone: (480) 296-1509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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