| Doctor Name: | MRS. SANDRA KAY VILLA |
| NPI Number: | 1952472318 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | |
| Business Practice Address: | 3182 Foots Creek R Fork Rd Gold Hill, OR - 975256730 |
| Business Phone Number: | 5415823365 |
| Business Fax Number: | 5415828298 |
| Mailing Address: | 3182 Foots Creek R Fork Rd, GOLD HILL |
| State: | OR |
| Postal Code: | 975256730 |
| Phone Number: | 5415823365 |
| Fax Number: | 5415828298 |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |