Organization
VALLEYTECH, INC.
Active
Other names
Valleytech Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. UKPONG UWEH BS (PRESIDENT)
(209) 472-1136
Entity
Organization
Contact information
Practice address
4873 WEST LN, STOCKTON, CA 95210-4548
(209) 472-1136
(209) 472-1138
Mailing address
PO BOX 77843, STOCKTON, CA 95267-1143
(209) 472-1136
(209) 472-1138
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
DME02917F
CA
Other
Enumeration date
08/11/2005
Last updated
03/31/2008
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