KEVIN LOZARES VILLANUEVA

SAN DIEGO, CA
NPI1902405350
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  50796)
Enumeration Date2020-10-17
Last Update Date2024-08-29
Business Address
KEVIN LOZARES VILLANUEVA PTA
16950 VIA TAZON
SAN DIEGO, CA 92127-1607
Phone number: 800-926-8273
Mailing Address
KEVIN LOZARES VILLANUEVA PTA
FILE 57326
LOS ANGELES, CA 90074-0001
Phone number: