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Kelli Villanueva

NPI 1255899498 · on the registry since 2019 · sole proprietor

Practice

Address
2629 Grambling Ct
Davis, CA 95618
Phone
(530) 400-7636

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California