JOHN DE VILLA

PUEBLO, CO
NPI1205474210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CO  APN.0995304-NP)
Enumeration Date2019-12-20
Last Update Date2020-04-24
Business Address
JOHN DE VILLA FNP-BC
902 LAKEVIEW AVE
PUEBLO, CO 81004-3597
Phone number: 719-557-5855
Mailing Address
JOHN DE VILLA FNP-BC
PO BOX 800022
KANSAS CITY, MO 64180-0022
Phone number: 800-953-0104
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