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Juan Villa
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1588064190

Juan Villa is a Student in an Organized Health Care Education/Training Program based in Ceres, CA. Juan Villa practices in Modesto, CA. The NPI Number for Juan Villa is 1588064190 and holds a License No. (California).

The current practice location address for Juan Villa is 707 14Th St, Modesto, CA and can be reached out via phone at 209-525-5080.

Location: 707 14Th St, Modesto, CA, 95307-9580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588064190
Provider Name
Juan Villa
Credential
Provider Entity Type
Individual
Gender
Male
Address
707 14Th St, Modesto, CA, 95307-9580
Phone Number
209-525-5080
Fax Number
Provider Enumeration Date
09/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
707 14Th St
City
Modesto
State
California
Zip
95354-2506
Phone Number
209-525-5080
Fax Number
person
Provider Business Mailing Address Details
Address
707 14Th St
City
Modesto
State
California
Zip
95354-2506
Phone Number
209-525-5080
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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