Individual
MANUEL VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
910 DEL DIOS HWY APT 97, ESCONDIDO, CA 92029-2250
(760) 638-3720
Mailing address
910 DEL DIOS HWY APT 97, ESCONDIDO, CA 92029-2250
(760) 638-3720
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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