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Organization
VALLEY NEPHROLOGY ASSOCIATES
Active
Organization
VALLEY NEPHROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M.R. SANTOS MD (PRESIDENT)
(209) 529-2645
Entity
Organization
Contact information
Practice address
608 E ORANGEBURG AVE, MODESTO, CA 95350-5513
(209) 529-2645
(209) 529-3024
Mailing address
608 E ORANGEBURG AVE, MODESTO, CA 95350-5513
(209) 529-2645
(209) 529-3024
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0099870
—
CA
Enumeration date
03/12/2007
Last updated
03/03/2010
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