Individual
CHRISTY L PEREZ-VALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4301 NORTHSTAR WAY, MODESTO, CA 95356-6702
(209) 577-1200
(209) 577-6517
Mailing address
4301 NORTHSTAR WAY, MODESTO, CA 95356-6702
(209) 577-1200
(559) 625-1315
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18764
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003173089
—
NV
Enumeration date
04/16/2012
Last updated
06/02/2022
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