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Organization
RAINILDA P. VALENCIA, M.D., INC.
Active
Organization
RAINILDA P. VALENCIA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYELLEN KIDWELL (OFFICE MANAGER)
(760) 955-5656
Entity
Organization
Contact information
Practice address
12677 HESPERIA RD, SUITE 160, VICTORVILLE, CA 92395-7735
(760) 955-5656
(760) 955-6176
Mailing address
12677 HESPERIA RD, SUITE 160, VICTORVILLE, CA 92395-7735
(760) 955-5656
(760) 955-6176
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A53787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A537870
—
CA
Enumeration date
12/19/2011
Last updated
12/19/2011
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