Individual
ALYSSA VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
425 W BONITA AVE, SAN DIMAS, CA 91773-2541
(909) 394-0462
Mailing address
425 W BONITA AVE, SAN DIMAS, CA 91773-2541
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35073
CA
152WV0400X
Vision Therapy Optometrist
35073
CA
Other
Enumeration date
08/19/2022
Last updated
01/04/2023
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