Individual
JUAN JOSE VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 E HACKETT RD, MODESTO, CA 95358-9800
(209) 558-3575
(209) 558-1075
Mailing address
251 E HACKETT RD, MODESTO, CA 95358-9800
(209) 558-3575
(209) 558-1075
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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