Individual
JARED VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 ZUMA VIEW PL, MALIBU, CA 90265-4327
(310) 579-5192
Mailing address
6500 ZUMA VIEW PL, MALIBU, CA 90265-4327
(310) 579-5192
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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