Individual
CHEYENNE SOMMER VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N 11TH ST, FREDERICK, OK 73542-2035
(580) 232-0528
Mailing address
1619 N 14TH ST, FREDERICK, OK 73542-1405
(580) 232-0528
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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