Individual
IVAN VALENZUELA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NASM-PES, KT, AT
Contact information
Practice address
1030 E BROCKTON AVE, REDLANDS, CA 92374-3611
(909) 283-1830
(909) 328-1827
Mailing address
1030 E BROCKTON AVE, REDLANDS, CA 92374-3611
(909) 283-1830
(909) 328-1827
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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