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Individual

ROBERTO VALENCIA CARDENAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
95278068
CA
164X00000X
Licensed Vocational Nurse
701887
CA

Other

Enumeration date
05/14/2020
Last updated
07/26/2023
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