Laura Brenna Villalobos

NPI #1851814842 in Plainview, New York

Provider Information

NPI Number: 1851814842
Entity Type: Individual
Name: Laura Brenna Villalobos
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jul 20, 2017
Last Updated: Jul 20, 2017

Practice Location

Address: 255 EXECUTIVE DR
City: Plainview
State: New York
ZIP Code: 11803-1718
Phone: (516) 576-2040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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