person
Dominique Villalba, PA-S
Student in an Organized Health Care Education/Training Program in Phoenix, Arizona
NPI 1265143275

Dominique Villalba is a Student in an Organized Health Care Education/Training Program based in Mesa, AZ. Dominique Villalba practices in Phoenix, AZ and has the professional credentials of PA-S. The NPI Number for Dominique Villalba is 1265143275 and holds a License No. (Arizona).

The current practice location address for Dominique Villalba is 435 N 5Th St, Phoenix, AZ and can be reached out via phone at 602-827-2450.

Location: 435 N 5Th St, Phoenix, AZ, 85210-8715
person
Provider Profile Details
NPI Number
1265143275
Provider Name
Dominique Villalba
Credential
PA-S
Provider Entity Type
Individual
Gender
Female
Address
435 N 5Th St, Phoenix, AZ, 85210-8715
Phone Number
602-827-2450
Fax Number
Provider Enumeration Date
12/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
435 N 5Th St
City
State
Zip
85004-2157
Phone Number
602-827-2450
Fax Number
person
Provider Business Mailing Address Details
Address
435 N 5Th St
City
State
Zip
85004-2157
Phone Number
602-827-2450
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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