Individual
BERNADETTE VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
01 SAGE BRUSH ST., ISLETA, NM 87022-0000
(505) 869-4398
(505) 869-4881
Mailing address
PO BOX 640, ISLETA HEATH CENTER, ISLETA, NM 87022-0000
(505) 869-4866
(505) 869-4881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4405
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4405
LICENSE
NM
Enumeration date
03/21/2014
Last updated
04/12/2018
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