Individual
MARY CLEONIE VALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 SINCLAIR CT, SPRING VALLEY, NY 10977-4350
(845) 494-8735
Mailing address
26 SINCLAIR CT, SPRING VALLEY, NY 10977-4350
(845) 494-8735
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3258921
NY
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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