SearchGeorgia171100000X

Ana Villanueva, DOM, AP

NPI 1427319466 · on the registry since 2012

Practice

Address
122 Riverstone Commons Cir
Canton, GA 30114
Phone
(813) 758-5222
Organisation at this address
Jabez Wellness
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia