VERNON VILLANUEVA

WILLIAMSBURG, NM
NPI1912445214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NM  4949)
Enumeration Date2017-02-07
Last Update Date2018-03-08
Business Address
-- VERNON VILLANUEVA PT
720 BROADWAY ST APT 9
WILLIAMSBURG, NM 87942
Phone number: 210-544-4857
Mailing Address
-- VERNON VILLANUEVA PT
3530 FOOTHILLS RD STE N
LAS CRUCES, NM 88011-3621
Phone number: 575-532-6054