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1952795536
BERENICE VILLANUEVA
SAN DIEGO, CA
NPI
1952795536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95002188)
Enumeration Date
2015-03-23
Last Update Date
2019-03-04
Business Address
BERENICE VILLANUEVA FNP
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-280-4213
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Mailing Address
BERENICE VILLANUEVA FNP
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-280-4213
Copy
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