Individual
ANNA JULIANNA VALLARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
500 S PRESTON ST RM 305, LOUISVILLE, KY 40202-1702
(973) 998-1139
Mailing address
430 W MUHAMMAD ALI BLVD # 1416, LOUISVILLE, KY 40202-2349
(973) 998-1139
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
07/01/2025
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