Individual
ALESSANDRA MARIE VALENZUELA PORFIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1510 FLORIDA AVE, MODESTO, CA 95350-4437
(866) 682-4842
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(866) 682-4842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58758
CA
Other
Enumeration date
11/06/2020
Last updated
06/01/2022
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