Individual
VALEN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6370 MAGNOLIA AVE STE 200, RIVERSIDE, CA 92506-2406
(951) 587-6973
Mailing address
27720 JEFFERSON AVE STE 120, TEMECULA, CA 92590-2609
(951) 587-6973
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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