NPI 1003277211
Carryl Villanueva
Practice location
- Address
- 3397 Delta Waters Rd, Medford, OR 97504-5852
- Phone
- (541) 772-4648
- Fax
- (541) 734-2410
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003277211
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Mar 2016
- Record last updated
- 15 Mar 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.