Individual
DJAIR VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
699 N ARROWHEAD AVE STE 116, SAN BERNARDINO, CA 92401-1143
(951) 902-5595
Mailing address
15025 ELM CT APT A, MORENO VALLEY, CA 92551-3655
(951) 902-5595
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F2014629
CA
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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