THEA VILLANUEVA

CERRITOS, CA
NPI1437588076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: CA  23502)
Enumeration Date2013-11-04
Last Update Date2014-01-10
Business Address
-- THEA VILLANUEVA NP
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703-9329
Phone number: 866-646-3553
Mailing Address
-- THEA VILLANUEVA NP
13520 PARK CENTRE ST
BALDWIN PARK, CA 91706-2265
Phone number:
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