Individual
CHARLES IGNACIO VALERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1252 OLYMPIC ST, BEAUMONT, CA 92223
(951) 769-4620
(915) 755-2440
Mailing address
1252 OLYMPIC ST, BEAUMONT, CA 92223
(951) 769-4620
(915) 755-2440
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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