Individual
DR. ELSA M VALDIVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15230 LAKESHORE DR, CLEARLAKE, CA 95422-8107
(707) 995-4500
(707) 994-2401
Mailing address
15230 LAKESHORE DR, CLEARLAKE, CA 95422-8107
(707) 995-4500
(707) 994-2401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A76342
CA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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