Individual
JAIME EMMANUEL VALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1233 N MAIN ST STE 1A, SAN LUIS, AZ 85336-0663
(928) 550-5514
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN158684
AZ
363L00000X
Nurse Practitioner
Primary
219043
AZ
Other
Enumeration date
10/09/2018
Last updated
08/19/2024
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