Individual
ABEL VALLE MARISCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
465 W PUTNAM AVE, PORTERVILLE, CA 93257-3320
(559) 784-1110
Mailing address
20814 AVENUE 160, PORTERVILLE, CA 93257-9262
(559) 799-5698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95029955
CA
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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