Individual
DR. CARMENZA MARCELLA VALDERRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1202 BROAD AVENUE, GULFPORT, MS 39501
(228) 822-9360
(228) 822-9361
Mailing address
1202 BROAD AVENUE, GULFPORT, MS 39501
(228) 822-9360
(228) 822-9361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33795
MS
Other
Enumeration date
04/21/2021
Last updated
09/13/2024
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