Individual
SANDRA S VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1224 E DIVOT DR, TEMPE, AZ 85283-4844
(480) 839-3520
Mailing address
1224 E DIVOT DR, TEMPE, AZ 85283-4844
(480) 839-3520
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
10412
AZ
385HR2055X
Child Mental Illness Respite Care
10412
AZ
Other
Enumeration date
12/21/2006
Last updated
03/19/2020
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