Organization
LEOPOLDO E VALDIVIA DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ANN VALDIVIA RN (OFFICE MANAGER)
(559) 686-3311
Entity
Organization
Contact information
Practice address
1068 N CHERRY ST, TULARE, CA 93274
(559) 686-3311
(559) 686-3363
Mailing address
1068 N CHERRY ST, TULARE, CA 93274
(559) 686-3311
(559) 686-3363
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
20A7040
CA
291U00000X
Clinical Medical Laboratory
Primary
CLM 29020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB98288F
—
CA
Enumeration date
01/09/2008
Last updated
07/29/2008
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