| Doctor Name: | FE TENIENTE VILLAFLOR |
| NPI Number: | 1922263193 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | MTN01096F |
| Business Practice Address: | 1123 E Dominguez St Bldg. B & C Carson, CA - 907463567 |
| Business Phone Number: | 3107634998 |
| Business Fax Number: | |
| Mailing Address: | 732 View Ln, DIAMOND BAR |
| State: | CA |
| Postal Code: | 917651896 |
| Phone Number: | 9099578868 |
| Fax Number: | 9098957570 |
| NPI Enumeration Date: | 07/27/2008 |
| NPI Last Update Date: | 07/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 172A00000X |
| License Number: | MTN01096F |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Driver |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |