BETHEL VILLAVICENCIO

DALLAS, TX
NPI1932317500
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: TX  4704097296)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- BETHEL VILLAVICENCIO
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-1625
Mailing Address
-- BETHEL VILLAVICENCIO
3508 GAGEWAY CT
MESQUITE, TX 75150-4362
Phone number: 972-279-1352