Provider Demographics
NPI:1184849879
Name:VILLANO, CHANDRA (ND, LMP)
Entity Type:Individual
Prefix:DR
First Name:CHANDRA
Middle Name:
Last Name:VILLANO
Suffix:
Gender:F
Credentials:ND, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 N ARBOR TER
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-4362
Mailing Address - Country:US
Mailing Address - Phone:509-393-5728
Mailing Address - Fax:509-888-0481
Practice Address - Street 1:1421 N ARBOR TER
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-4362
Practice Address - Country:US
Practice Address - Phone:509-888-0481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001315175F00000X
WAMA60074045225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist