Individual
MRS. ANASTASIA DANIELLE VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2801 DEKALB MEDICAL PKWY, LITHONIA, GA 30058-4996
(404) 501-8000
Mailing address
879 PINECREST CIR SW, LILBURN, GA 30047-3150
(385) 262-6345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11082
GA
Other
Enumeration date
08/08/2022
Last updated
01/05/2024
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