Individual
CLARISSE VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17234 VALLEY BLVD, FONTANA, CA 92335-6847
(909) 427-5000
Mailing address
PO BOX 501352, SAN DIEGO, CA 92150-1352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A147949
CA
Other
Enumeration date
06/11/2015
Last updated
12/03/2021
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