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Individual

ANNE-MARIE VAILLANT-NEWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.,M.A.

Contact information

Practice address
27475 YNEZ RD # 318, TEMECULA, CA 92591-4612
(951) 600-0634
Mailing address
27475 YNEZ RD # 318, TEMECULA, CA 92591-4612
(951) 600-0634

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT24993
CA

Other

Enumeration date
01/10/2007
Last updated
07/08/2007
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