Individual
MR. ULYSSES HERVIAS VALERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
201 E NOBLE AVE, VISALIA, CA 93277-2857
(559) 627-6500
(559) 627-6501
Mailing address
201 E NOBLE AVE, VISALIA, CA 93277-2857
(240) 893-3871
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95004906
CA
363LG0600X
Gerontology Nurse Practitioner
NP95004906
CA
Other
Enumeration date
10/31/2016
Last updated
09/05/2019
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