Individual
JORGE VALENTIN CACERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3398 HOLLY GROVE ST, WESTLAKE VILLAGE, CA 91362-3360
(818) 326-5128
Mailing address
3398 HOLLY GROVE ST, WESTLAKE VILLAGE, CA 91362-3360
(818) 326-5128
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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