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NPI Code Detail

MEDICARE: GLORIA KANANI VALLEDOR

MEDICARE: GLORIA KANANI VALLEDOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult CompanionCA

General Provider Information

NPI Number : 1326890476
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA KANANI VALLEDOR
Provider Business Mailing Address
First Line : 419 WOODHAVEN DR
Second Line :
City : VACAVILLE
State : CA
Zip : 95687-5941
Country : US
Telephone Number : 786-856-6222
Fax Number :
Provider Business Practice Location Address
First Line : 275 BECK AVE
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-6804
Country : US
Telephone Number : 707-784-8129
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2024
Last Update Date : 04/28/2026

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Directions to “ GLORIA KANANI VALLEDOR ” Practice Location

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