Individual
CHARITY ANN VALLANGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
HIGHWAY 491 NORTH, SHIPROCK, NM 87420
(505) 368-7265
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-7265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027627A
IN
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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