Individual
EDGAR VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 W 6TH ST, YUMA, AZ 85364-2973
(928) 502-4300
Mailing address
550 E ROBIN LN APT 23, YUMA, AZ 85365-2856
(928) 261-7235
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0TA-046608
AZ
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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