Individual
GISELLE VALLADARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2651 COLD CREEK AVE, ROSAMOND, CA 93560-6889
(661) 865-9920
Mailing address
588 LONGMEADOW ST, LONGMEADOW, MA 01106-2292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
67573
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2024
Last updated
12/30/2025
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