Individual
MS. MARIA TAMARA VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4930 DEL MAR AVE, UNIT 105, SAN DIEGO, CA 92107-3424
(217) 816-1043
Mailing address
4930 DEL MAR AVE, UNIT 105, SAN DIEGO, CA 92107-3424
(217) 816-1043
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
725173
CA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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