Individual
MISAAEL VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
BUILDING, B ST, OCEANSIDE, CA 92058
(661) 547-5623
Mailing address
11412 VIA RANCHO SAN DIEGO UNIT 46, EL CAJON, CA 92019-5228
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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