RICHARD VILLAVICENCIO

VAN NUYS, CA
NPI1568884195
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2014-01-16
Last Update Date2014-01-16
Business Address
-- RICHARD VILLAVICENCIO
14515 HAMLIN ST #102
VAN NUYS, CA 91411-1608
Phone number: 818-989-7475
Mailing Address
-- RICHARD VILLAVICENCIO
14515 HAMLIN ST #102
VAN NUYS, CA 91411-1608
Phone number: 818-989-7475
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