Individual
KARLA MARITZA VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8831 TANGERINE SKY AVE, LAS VEGAS, NV 89178-7245
(702) 213-0007
Mailing address
8831 TANGERINE SKY AVE, LAS VEGAS, NV 89178-7245
(562) 416-1984
(562) 416-1984
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193200000X
—
NV
Enumeration date
02/06/2023
Last updated
02/06/2023
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