Individual
MR. MICHAEL A VALENZUELA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1830 E BROADWAY BLVD, PMB 124-114, TUCSON, AZ 85719-5966
(520) 349-4979
(520) 647-9174
Mailing address
1830 E BROADWAY BLVD, PMB 124-114, TUCSON, AZ 85719-5966
(520) 349-4979
(520) 647-9174
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14-258
AZ
Other
Enumeration date
05/21/2014
Last updated
09/08/2015
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