Individual
JAZMINE A VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 HUGHES RD UNIT 5102, MADISON, AL 35758-6454
(815) 508-4336
Mailing address
2150 HUGHES RD UNIT 5102, MADISON, AL 35758-6454
(815) 508-4336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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