Most Relevant Information
Provider Data
NPI Number: | 1003413220 |
Provider Name: | YVONNE VILLALOBOS |
Entity Type: | Individual |
Taxonomy Code: | 3747P1801X |
Specialty: | Technician |
License Number: |
Most Important Dates
Enumeration Date: | 10/01/2020 |
Last Updated: | 10/01/2020 |
Provider Practice Location
3210 W CHARLESTON BLVD STE 2
LAS VEGAS
NV
891020080
Practice Location Phone/Fax
Phone: | 7028932001 |
Fax: |
Provider Mailing Location
3210 W CHARLESTON BLVD STE 2
LAS VEGAS
NV
891020080
Provider Mailing Phone/Fax
Phone: | 7028932001 |
Fax: |