Larry Ray Coburn-Villalpando
NPI #1902456866 in Westminster, California
Provider Information
- NPI Number
- 1902456866
- Entity Type
- Individual
- Name
- Larry Ray Coburn-Villalpando
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Sep 12, 2019
- Last Updated
- Sep 12, 2019
Practice Location
- Address
- 14272 HOOVER ST TRLR 113
- City
- Westminster
- State
- California
- ZIP Code
- 92683-4325
- Phone
- (714) 487-1385
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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