Individual
JUANITA VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 KEITH ST, HANFORD, CA 93230-2910
(559) 582-7800
Mailing address
222 KEITH ST, HANFORD, CA 93230-2910
(559) 707-7374
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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