Individual
ANTHONY VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1745 ENTERPRISE DR BLDG 2 SUITE I-64, FAIRFIELD, CA 94533
(707) 427-6640
Mailing address
5302 PANAMA AVE, RICHMOND, CA 94804-5440
(707) 427-6640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
051081
CA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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