Individual
MISS STEPHEN CHRISTOPHER VALLELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
241 PALLETTE ST, EL CAJON, CA 92020-6316
(619) 249-1104
Mailing address
241 PALLETTE ST, EL CAJON, CA 92020-6316
(619) 249-1104
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
233821
—
247100000X
Radiologic Technologist
RHF 62902
CA
2471C3401X
Computed Tomography Radiologic Technologist
233821
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
233821
—
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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