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Individual
VALERIE O. AJIDUAH
Active
Individual
VALERIE O. AJIDUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
51325
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0146687 - DV5277
RR MEDICARE - 55TH ST, NORWOOD, MARYSVILLE, MACK RD & CITRUS HEIGHTS LOCATIONS
CA
05
—
SAC POD- EFF 5/22/14
—
CA
Enumeration date
12/09/2013
Last updated
03/30/2018
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