Reyna Lucero Valle Mariscal
NPI #1689221483 in Ceres, California
Provider Information
- NPI Number
- 1689221483
- Entity Type
- Individual
- Name
- Reyna Lucero Valle Mariscal
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Aug 26, 2019
- Last Updated
- Aug 26, 2019
Practice Location
- Address
- 1505 RIDLON LN
- City
- Ceres
- State
- California
- ZIP Code
- 95307-9360
- Phone
- (209) 496-8869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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