Individual
MR. AUREALIUS VALENCINO FLEETON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7323 WASHINGTON PL, RANCHO CUCAMONGA, CA 91730-8288
(909) 476-0101
Mailing address
7323 WASHINGTON PL, RANCHO CUCAMONGA, CA 91730-8288
(909) 476-0101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9407
CA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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