Candace Monique Vallarta

NPI #1205404811 in Trabuco Canyon, California

Provider Information

NPI Number
1205404811
Entity Type
Individual
Name
Candace Monique Vallarta
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician
Enumeration Date
Jun 11, 2021
Last Updated
Jun 11, 2021

Practice Location

Address
20342 FLANAGAN ROAD
ZIP Code
92679
Phone
(818) 582-8832

Specialties & Taxonomy Codes

Specialty
Technician

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