Christa O'hana Villanueva San Luis M.D.

NPI 1811127475 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1811127475
Gender Female
Enumeration Date 07/16/2009
Last Updated 01/06/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 984-5500
Fax (601) 984-5503
Business Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 984-5500
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Christa O'hana Villanueva San Luis M.D. NPI is 1811127475, taxonomy code is 390200000X Christa O'hana Villanueva San Luis M.D. physically located at 2500 N State St, Jackson MS, 39216-4500. NPI Number Christa O'hana Villanueva San Luis M.D. has the Individual type.

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1811127475 NPI number is provided on an as is basis without warranty of any kind. 1811127475 is maintained by the National Plan & Provider Enumeration System. The contents of Christa O'hana Villanueva San Luis M.D. are for informational purposes only.