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Individual
MRS. KATHRYN L VALENCIA
Active
Individual
MRS. KATHRYN L VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC 23867
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10 277554
NY
251S00000X
Community/Behavioral Health Agency
23867
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00729997
—
NY
Enumeration date
10/15/2015
Last updated
05/31/2016
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