Individual
ANDREA VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 CARVER RD UNIT 213, MODESTO, CA 95350-7705
(209) 300-8800
Mailing address
1095 CARVER RD UNIT 213, MODESTO, CA 95350-7705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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