Individual
ANTONELLA VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8362 ERICKSON BLVD APT 9304, LITTLETON, CO 80129
(239) 200-7114
Mailing address
8362 ERICKSON BLVD APT 9304, LITTLETON, CO 80129-7040
(239) 200-7114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5595
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/18/2017
Last updated
06/09/2019
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