Individual
JESUS VANESSA VALENCIA SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
711 N COURT ST, VISALIA, CA 93291-3638
(559) 627-1490
Mailing address
711 N COURT ST, VISALIA, CA 93291-3638
(559) 627-1490
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 36709
CA
Other
Enumeration date
05/01/2013
Last updated
02/04/2019
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