Individual
MISS JACQUELINE LORI VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9601 SIERRA VISTA CT, SUITE A, ALBUQUERQUE, NM 87111
(505) 353-0672
Mailing address
P.O. BOX 35346, ALBUQUERQUE, NM 87176
(505) 353-0672
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5585
NM
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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