Individual
GENESI VALDEZ COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1081 OAK ST, PITTSTON, PA 18640-3716
(347) 543-8962
Mailing address
86 E COLUMBUS AVE, PITTSTON, PA 18640-2410
(347) 543-8962
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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