Individual
MR. MARK C VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134
(619) 532-5108
Mailing address
7666 DANCY ROAD, SAN DIEGO, CA 92126
(619) 532-5108
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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