Individual
ADALBERTO SANTIAGO VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 S 11TH ST, COPPERAS COVE, TX 76522-2704
(254) 661-0186
Mailing address
701 S 11TH ST, COPPERAS COVE, TX 76522-2704
(254) 661-3394
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
TX
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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