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NPI Code Detail

MEDICARE: MARIBEL VILLALOBOS

MEDICARE: MARIBEL 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
1106H00000XMarriage & Family Therapist61653CA

General Provider Information

NPI Number : 1215075114
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIBEL VILLALOBOS
Provider Business Mailing Address
First Line : 400 VILLAGE CIRCLE
Second Line :
City : WINTERS
State : CA
Zip : 95694-2309
Country : US
Telephone Number : 530-795-3691
Fax Number :
Provider Business Practice Location Address
First Line : 3870 ROSIN CT
Second Line : SUITE 130
City : SACRAMENTO
State : CA
Zip : 95834-1620
Country : US
Telephone Number : 916-363-1553
Fax Number : 916-363-1638
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 09/29/2011

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Directions to “ MARIBEL VILLALOBOS ” Practice Location

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