Provider Demographics
NPI:1881471936
Name:VILLANOZ, PAMELA ANGELA
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:ANGELA
Last Name:VILLANOZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13196 E 6TH PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8505
Mailing Address - Country:US
Mailing Address - Phone:971-706-1905
Mailing Address - Fax:
Practice Address - Street 1:13196 E 6TH PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8505
Practice Address - Country:US
Practice Address - Phone:971-706-1905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program