Individual
CHANDLER VALENCIANO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10501 GATEWAY BLVD W, EL PASO, TX 79925-7934
(915) 544-3500
Mailing address
10501 GATEWAY BLVD W, EL PASO, TX 79925
(915) 253-4868
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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