Individual
OMAR JOHN VALLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18270 SISKIYOU RD, APPLE VALLEY, CA 92307-1413
(760) 991-3020
Mailing address
13087 SARATOGA ST, HESPERIA, CA 92344-5538
(760) 508-9572
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5733
CA
Other
Enumeration date
06/06/2024
Last updated
06/10/2024
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