Most Relevant Information
Provider Data
| NPI Number: | 1003415142 |
| Provider Name: | MICHELLE MARIE VILLARREAL |
| Entity Type: | Individual |
| Taxonomy Code: | 374700000X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/20/2020 |
| Last Updated: | 10/20/2020 |
Provider Practice Location
8142 SUNLAND BLVD
SUN VALLEY
CA
91352
Practice Location Phone/Fax
| Phone: | 8185828832 |
| Fax: | 8185828836 |
Provider Mailing Location
9365 GREENBUSH AVE
ARLETA
CA
913315905
Provider Mailing Phone/Fax
| Phone: | 8184926932 |
| Fax: |