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1558116400
FERNANDO VILLANUEVA REYNA
WEST COVINA, CA
NPI
1558116400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-23
Last Update Date
2024-04-23
Business Address
FERNANDO VILLANUEVA REYNA
1115 S SUNSET AVE
WEST COVINA, CA 91790-3940
Phone number: 626-813-7837
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Mailing Address
FERNANDO VILLANUEVA REYNA
1115 S SUNSET AVE
WEST COVINA, CA 91790-3940
Phone number:
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