Most Relevant Information
Provider Data
NPI Number: | 1003336280 |
Provider Name: | ANGELICA MARIE LEMELLE VILLALOBOS |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 06/20/2017 |
Last Updated: | 07/21/2022 |
Provider Practice Location
2230 STOCKTON BLVD
SACRAMENTO
CA
958171353
Practice Location Phone/Fax
Phone: | 9167347251 |
Fax: |
Provider Mailing Location
2230 STOCKTON BLVD
SACRAMENTO
CA
958171353
Provider Mailing Phone/Fax
Phone: | 9167347251 |
Fax: |