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Organization

VALLEY DEVELOPMENT SERVICES INC

Active
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Organization

VALLEY DEVELOPMENT SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY ELIZABETH MADKIN MA CCC SLP (SPEECH PATHOLOGIST)
(909) 908-1771
Entity
Organization

Contact information

Practice address
4959 PALO VERDE ST STE 101C, MONTCLAIR, CA 91763-2358
(877) 284-8923
(877) 284-8923
Mailing address
1681 GLENWOOD AVE, UPLAND, CA 91784-8801
(877) 284-8923
(877) 284-8923

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
VN 130263
CA
235Z00000X
Speech-Language Pathologist
Primary
—
NULL
235Z00000X
Speech-Language Pathologist
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9202009
INLAND EMPIRE HEALTH PLAN
CA
Enumeration date
02/15/2007
Last updated
11/03/2009
About Stedi
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