Individual
MR. ENRRIQUE VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16767 VALLEY BLVD STE D, FONTANA, CA 92335-6645
(909) 333-1619
Mailing address
PO BOX 3820, RIVERSIDE, CA 92519-3820
(909) 434-4503
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
008091
CA
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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