Individual
TINA M VALADEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 E MOUNTAIN VIEW ST, BARSTOW, CA 92311-2897
(760) 256-7279
Mailing address
309 E MOUNTAIN VIEW ST, BARSTOW, CA 92311-2897
(760) 256-7279
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
08/18/2021
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