ANDREA VILLAVICENCIO

COMMERCE, CA
NPI1972014496
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2017-10-24
Last Update Date2017-10-24
Business Address
ANDREA VILLAVICENCIO
6055 E WASHINGTON BLVD STE 900
COMMERCE, CA 90040-2453
Phone number: 323-346-0960
Mailing Address
ANDREA VILLAVICENCIO
638 BAY VIEW AVE
WILMINGTON, CA 90744-5379
Phone number: