MS. Lydia Marie Vallesillas, PA-C

NPI #1942677489 in Fresno, California

Provider Information

NPI Number: 1942677489
Entity Type: Individual
Name: MS. Lydia Marie Vallesillas, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 1, 2015
Last Updated: Sep 1, 2015

Practice Location

Address: 7300 N FRESNO ST
City: Fresno
State: California
ZIP Code: 93720-2941
Phone: (559) 448-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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