Individual
GREGORY VALLEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDO
Contact information
Practice address
3714 LONE TREE WAY, ANTIOCH, CA 94509-6018
(925) 757-6677
Mailing address
3714 LONE TREE WAY, ANTIOCH, CA 94509-6018
(925) 757-6677
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
RDO2084
CA
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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