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Organization

GOLDEN VALLEY CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS BRENDALIZ SOTO (PRESIDENT)
(787) 244-2757
Entity
Organization

Contact information

Practice address
AVE TITO CASTRO 606, LA RAMBLA PLAZA SUITE 217, PONCE, PR 00728
(787) 244-2757
Mailing address
PO BOX 801529, COTO LAUREL, COTO LAUREL, PUERTO RICO 00660
(787) 244-2757

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/18/2013
Last updated
09/18/2013
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