Most Relevant Information
Provider Data
| NPI Number: | 1003551235 |
| Provider Name: | DANIEL VILLALOBOS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2022 |
| Last Updated: | 06/29/2022 |
Provider Practice Location
2575 MONTESSOURI ST STE 201
LAS VEGAS
NV
891173060
Practice Location Phone/Fax
| Phone: | 7022072526 |
| Fax: |
Provider Mailing Location
2575 MONTESSOURI ST STE 201
LAS VEGAS
NV
891173060
Provider Mailing Phone/Fax
| Phone: | 7022072526 |
| Fax: |