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 Date2020-10-17
Business Address
KEVIN LOZARES VILLANUEVA PTA
501 W BROADWAY
SAN DIEGO, CA 92101-3536
Phone number: 619-237-9027
Mailing Address
KEVIN LOZARES VILLANUEVA PTA
7155 CALSTON PL
SAN DIEGO, CA 92126-5958
Phone number: 858-335-6957