CARISSA LEIGH VILLAVICENCIO

PALMDALE, CA
NPI1205318938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-08-29
Last Update Date2020-01-15
Business Address
CARISSA LEIGH VILLAVICENCIO PA-C
655 W AVENUE Q
PALMDALE, CA 93551-3894
Phone number: 661-259-5200
Mailing Address
CARISSA LEIGH VILLAVICENCIO PA-C
27898 SKYCREST CIR
VALENCIA, CA 91354-1415
Phone number: 661-904-0943
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