Individual
KEISHLA JANICE DEGRO VALLADARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, FAAP
Contact information
Practice address
18533 SOLEDAD CANYON RD, SANTA CLARITA, CA 91351-3722
(616) 738-8006
Mailing address
18533 SOLEDAD CANYON RD, SANTA CLARITA, CA 91351-3722
(661) 673-8800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21334
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2016
Last updated
02/13/2023
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