DANIEL JOHN VILLELLA

SALT LAKE CITY, UT
NPI1194061192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  8464779-1206)
Enumeration Date2012-12-19
Last Update Date2012-12-19
Business Address
-- DANIEL JOHN VILLELLA PA-C
8TH AVE & C STREET
SALT LAKE CITY, UT 84143
Phone number: 801-408-3043
Mailing Address
-- DANIEL JOHN VILLELLA PA-C
2302 S 1800 E
SALT LAKE CITY, UT 84106-4131
Phone number: 801-884-2027
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