Individual
MRS. LUZ ELENA VALENCIA-PENAGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
912 KINGS CT, FRANKLIN SQUARE, NY 11010-3053
(516) 647-2035
Mailing address
912 KINGS CT, FRANKLIN SQUARE, NY 11010-3053
(516) 647-2035
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004962
NY
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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