MARICELA VILLALTA

WOODLAND HILLS, CA
NPI1649504135
Former NameMARICELA GONZALEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA20561)
Enumeration Date2009-09-30
Last Update Date2022-02-11
Business Address
-- MARICELA VILLALTA PA-C
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367-6701
Phone number: 818-719-2000
Mailing Address
-- MARICELA VILLALTA PA-C
PO BOX 711
SAN MARTIN, CA 95046-0711
Phone number: 408-202-6236
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