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Individual

LYDIA KAY VALDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 737-3300
Mailing address
616 COOPER DR, LOMPOC, CA 93436-2920
(805) 588-1106

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
699315
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
699315
CA
Enumeration date
12/05/2022
Last updated
12/05/2022
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