Individual
CLODI VALLICELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1020 S ARROYO PKWY, PASADENA, CA 91105-3911
(626) 403-4888
(626) 403-4894
Mailing address
1020 S ARROYO PKWY, PASADENA, CA 91105-3911
(626) 403-4888
(626) 403-4894
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
402459
CA
Other
Enumeration date
08/11/2009
Last updated
08/13/2009
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