The holder whose full name is Villavicencio, Ovette Favila,come from Indianapolis IN,hold the Physician license(NO.01073604A) which status is Active.
| Name | Villavicencio, Ovette Favila |
|---|---|
| License Number | 01073604A |
| License Type | Physician |
| License Status | Active |
| City | Indianapolis |
| State | IN |