Valerie Luisa Villanueva, | |
420 Polifka Dr, Shaw Afb, SC 29152-5100 | |
(038) 956-5428 | |
Not Available |
Full Name | Valerie Luisa Villanueva |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 420 Polifka Dr, Shaw Afb, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104232701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Valerie Luisa Villanueva, 420 Polifka Dr, Shaw Afb, SC 29152-5100 Ph: () - | Valerie Luisa Villanueva, 420 Polifka Dr, Shaw Afb, SC 29152-5100 Ph: (038) 956-5428 |
Aaron D Geyer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Drive, Bldg 1042, Shaw Afb, SC 29152 Phone: 803-895-6778 | |
Melissa Cristina Baker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 480 Polifka Dr, Shaw Afb, SC 29152 Phone: 803-895-6307 | |
Jesse Jenkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 803-717-7099 |