Leeann Cho Villa
Student in an Organized Health Care Education/Training Program in Ewa Beach, HI. Individual provider (NPI-1).
NPI number1275201675
StatusActive
Last updated in NPPESAug 31, 2021
Details
- NPI
- 1275201675
- Entity type
- Individual (NPI-1)
- Name
- Leeann Cho Villa
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2021
- Certification date
- Aug 30, 2021
- Last updated
- Aug 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
91-1841 Fort Weaver RdEwa Beach, HI 96706-1909
Phone 808-681-1470 · Fax 808-681-1486
Mailing address
91-526 Maohaka PlEwa Beach, HI 96706-4533
Phone 808-542-3088
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