Individual
MARIA VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 HARRIS SPRINGS RD, LAS VEGAS, NV 89124-9215
(702) 872-5382
Mailing address
4525 EVERGREEN PL, LAS VEGAS, NV 89107-4263
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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