Enrique Villanueva, SOIDC
NPI #1508527060 in Camp Pendleton, California
Provider Information
- NPI Number
- 1508527060
- Entity Type
- Individual
- Name
- Enrique Villanueva, SOIDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- SOIDC
- Enumeration Date
- Jan 6, 2022
- Last Updated
- Jan 6, 2022
Practice Location
- Address
- BLDG 210730 C STREET
- City
- Camp Pendleton
- State
- California
- ZIP Code
- 92055-5243
- Phone
- (407) 433-7822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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