Individual
JASON P VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6701 N CHARLES ST, TOWSON, MD 21204-6808
(410) 296-4616
(410) 337-5068
Mailing address
230 SCHILLING CIRCLE STE 170, ATTN: MARY ELLEN CUTHIE, HUNT VALLEY, MD 21031-1417
(410) 296-4616
(410) 337-5068
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R152656
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419211700
—
MD
Enumeration date
11/13/2009
Last updated
12/03/2019
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