Most Relevant Information
Provider Data
| NPI Number: | 1003409624 |
| Provider Name: | VICTOR RAY VILLA |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 75510 |
Most Important Dates
| Enumeration Date: | 02/15/2021 |
| Last Updated: | 02/15/2021 |
Provider Practice Location
3235 COSBEY AVE
BALDWIN PARK
CA
917064500
Practice Location Phone/Fax
| Phone: | 7144173206 |
| Fax: |
Provider Mailing Location
3235 COSBEY AVE
BALDWIN PARK
CA
917064500
Provider Mailing Phone/Fax
| Phone: | 7144173206 |
| Fax: |