Individual
FLOR DE MARIA GRADOS VALDERRAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2802 PARGOUD BLVD, MONROE, LA 71201-2335
(305) 766-9688
Mailing address
2802 PARGOUD BLVD, MONROE, LA 71201-2335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
203138
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802433
—
LA
Enumeration date
08/06/2009
Last updated
09/15/2016
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