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NPI Profile for ALISA VILLALOBOS in YERMO, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
101YS0200X |
| NPI Number | 1093698854 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/29/2025 | |
| Last updated | 07/29/2025 - About 10 months ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ALISA VILLALOBOS
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ALISA VILLALOBOS