Individual
ATHENA MICHELLE VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 LAFAYETTE AVE APT 21E, BRONX, NY 10473-2841
(917) 935-1353
Mailing address
1850 LAFAYETTE AVE APT 21E, BRONX, NY 10473-2841
(917) 935-1353
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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