| NPI | 1447936984 |
|---|---|
| Professional Name | MARY ANN LONGALONG VILLALON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IL 041483639) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209028066) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-08-14 |