Individual
AVA DIANE VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
635 E LINCOLNWAY, MORRISON, IL 61270-2963
(815) 772-7491
(815) 772-7891
Mailing address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001567
IL
Other
Enumeration date
04/18/2008
Last updated
01/02/2015
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