Individual
CANDACE MONIQUE VALLARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20342 FLANAGAN ROAD, TRABUCO CANYON, CA 92679
(818) 582-8832
(818) 582-8836
Mailing address
1161 N LOMBARD DR APT C, ANAHEIM, CA 92801-2181
(714) 574-1547
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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