ANTHONY FELIPE BANUELOS VILLA

LOS ANGELES, CA
NPI1912534033
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95014143)
Enumeration Date2020-03-26
Last Update Date2020-03-26
Business Address
Mr. ANTHONY FELIPE BANUELOS VILLA FNP
3437 ELLISON ST
LOS ANGELES, CA 90063-1901
Phone number: 626-375-5566
Mailing Address
Mr. ANTHONY FELIPE BANUELOS VILLA FNP
3437 ELLISON ST
LOS ANGELES, CA 90063-1901
Phone number: 626-375-5566
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