Individual
ALEX HUMBERTO SIMON VALLADARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 CORPORATE CENTER DR STE 210, POMONA, CA 91768-2627
(909) 618-0974
Mailing address
801 CORPORATE CENTER DR STE 210, POMONA, CA 91768-2627
(909) 618-0974
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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