Organization
RODOLFO C. VALENZUELA LLC
Active
Other names
rodolfo C. Valenzuela, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO C. VALENZUELA M.D,S.A. (SURGICAL ASSISTANT)
(240) 328-9784
Entity
Organization
Contact information
Practice address
18302 ASHMEADE RD, BOYDS, MD 20841-4387
(240) 328-9784
Mailing address
18302 ASHMEADE RD, BOYDS, MD 20841-4387
(240) 328-9784
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/29/2014
Last updated
01/27/2016
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