Individual
DIANA VALLADARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12332 OSBORNE PL APT 17, PACOIMA, CA 91331-2084
(747) 322-9526
Mailing address
706 1/2 LUCILE AVE, LOS ANGELES, CA 90026-6686
(213) 352-0117
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/21/2015
Last updated
07/26/2016
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