CARL JASON ANTONIL VILLANUEVA

JACKSONVILLE, NC
NPI1467611905
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  8040)
Enumeration Date2008-06-09
Last Update Date2008-06-09
Business Address
Mr. CARL JASON ANTONIL VILLANUEVA PT
1839 ONSLOW DR
JACKSONVILLE, NC 28540-5906
Phone number: 910-455-3610
Mailing Address
Mr. CARL JASON ANTONIL VILLANUEVA PT
2015 HUNTERS RIDGE DR
MIDWAY PARK, NC 28544-1635
Phone number: 910-577-1210