Individual
MR. ALVILLE VERTUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
877 YGNACIO VALLEY RD, WALNUT CREEK, CA 94596-3878
(925) 482-3330
Mailing address
134 OBRIEN CIR, VALLEJO, CA 94589-1545
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
224Z00000X
Occupational Therapy Assistant
Primary
469965
CA
Other
Enumeration date
01/05/2018
Last updated
05/03/2022
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