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NPI Code Detail

MEDICARE: JOANNA VILLALOBOS

MEDICARE: JOANNA VILLALOBOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist
2171400000XHealth & Wellness CoachCA
3175T00000XPeer Specialist

General Provider Information

NPI Number : 1447005566
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA VILLALOBOS
Provider Business Mailing Address
First Line : 2560 W SHAW LN STE 104
Second Line :
City : FRESNO
State : CA
Zip : 93711-2777
Country : US
Telephone Number : 559-443-4800
Fax Number :
Provider Business Practice Location Address
First Line : 2560 W SHAW LN STE 104
Second Line :
City : FRESNO
State : CA
Zip : 93711-2777
Country : US
Telephone Number : 559-443-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2024
Last Update Date : 12/19/2025

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Directions to “ JOANNA VILLALOBOS ” Practice Location

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