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Individual

JOSE VALDIVIA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1580 APPALOOSA SUITE C310, SUNLAND PARK, NM 88063-9200
(575) 332-9086
(575) 332-9132
Mailing address
14177 SMOKEY POINT DR, EL PASO, TX 79938-5405
(915) 873-0603
(575) 332-4453

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
63921
NM
363LF0000X
Family Nurse Practitioner
Primary
AP133299
TX

Other

Enumeration date
02/13/2017
Last updated
03/01/2022
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