Most Relevant Information
Provider Data
| NPI Number: | 1003549437 |
| Provider Name: | ROSMIR ROSETA VILLALUZ FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95283503 |
Most Important Dates
| Enumeration Date: | 07/04/2022 |
| Last Updated: | 07/15/2022 |
Provider Practice Location
972 GOODRICH BLVD
COMMERCE
CA
900224114
Practice Location Phone/Fax
| Phone: | 8884999303 |
| Fax: |
Provider Mailing Location
972 GOODRICH BLVD
COMMERCE
CA
900224114
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |