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Individual

STACEY VALDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
3616 E 1ST ST, LOS ANGELES, CA 90063-2326
(323) 264-6157
(323) 264-9737
Mailing address
3616 EAST 1ST STREET, LOS ANGELES, CA 90063
(323) 264-6157
(323) 264-9737

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5144
CA

Other

Enumeration date
05/16/2012
Last updated
01/12/2017
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