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Individual

JACQUELINE RENEE VALDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2332 JORDAN AVE, MCALLEN, TX 78503-7822
(956) 994-3319
Mailing address
PO BOX 749, MCALLEN, TX 78502-1614
(956) 362-2171

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09952
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
352333401
TX
Enumeration date
09/15/2015
Last updated
01/26/2017
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