Individual
PRISCILLA DULCE VALLEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16250 NW 57TH AVE, MIAMI LAKES, FL 33014
(786) 442-2136
Mailing address
8001 SW 36TH ST STE 9, DAVIE, FL 33328-1915
(954) 577-7790
(954) 577-7780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
363AM0700X
Medical Physician Assistant
Primary
PA9118087
FL
Other
Enumeration date
06/18/2017
Last updated
12/21/2023
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