person
Nelson Manrique Villalta, OPTICIAN
NPI 1639710296

Nelson Manrique Villalta is a Optician based in Huntington Park, CA and is specialized in Optician. Nelson Manrique Villalta practices in Huntington Park, CA and has the professional credentials of OPTICIAN. The NPI Number for Nelson Manrique Villalta is 1639710296 and holds a License No. (California).

The current practice location address for Nelson Manrique Villalta is 6529 Seville Ave, Huntington Park, CA and can be reached out via phone at 323-582-5770.

Location: 6529 Seville Ave, Huntington Park, CA, 90255-4208
person
Provider Profile Details
NPI Number
1639710296
Provider Name
Nelson Manrique Villalta
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
6529 Seville Ave, Huntington Park, CA, 90255-4208
Phone Number
323-582-5770
Fax Number
Provider Enumeration Date
10/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6529 Seville Ave
City
State
Zip
90255-4208
Phone Number
323-582-5770
Fax Number
person
Provider Business Mailing Address Details
Address
6529 Seville Ave
City
State
Zip
90255-4208
Phone Number
323-582-5770
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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