Individual
JUSTIN VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
3112 S ALSACE WAY, WEST VALLEY CITY, UT 84119-8206
(925) 580-8648
Mailing address
3112 S ALSACE WAY, WEST VALLEY CITY, UT 84119-8206
(925) 580-8648
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000016592
UT
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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