NPI 1003409624

Victor Ray Villa

Practitioner Massage Therapist Baldwin Park, CA

Practice location

Address: 3235 Cosbey Ave, Baldwin Park, CA 91706-4500
Phone: (714) 417-3206

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 75510 (CA)

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Registry record

NPI: 1003409624
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2021
Record last updated: 15 Feb 2021

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.