Provider Demographics
NPI:1427672666
Name:VILLAUEVA, DELIA SOTELO
Entity type:Individual
Prefix:
First Name:DELIA
Middle Name:SOTELO
Last Name:VILLAUEVA
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 1:931 HONEYSUCKLE ST
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-6481
Mailing Address - Country:US
Mailing Address - Phone:432-978-3005
Mailing Address - Fax:
Practice Address - Street 1:931 HONEYSUCKLE ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-6481
Practice Address - Country:US
Practice Address - Phone:432-978-3005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant