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TIMOTHY A VALENZUELA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
179 FLANDERS NETCONG RD, FLANDERS, NJ 07836-9738
(303) 324-2825
Mailing address
179 FLANDERS NETCONG RD, FLANDERS, NJ 07836-9738
(303) 324-2825

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07455500
NJ

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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