Individual
LUIS VALDIVIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 ALLERTON ST, REDWOOD CITY, CA 94063-1519
(650) 599-9955
Mailing address
500 ALLERTON ST FL 2NF, REDWOOD CITY, CA 94063-1519
(650) 599-9955
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
11/01/2017
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