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Individual

ITZEL VALENZUELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2400 W DUNLAP AVE STE 100, PHOENIX, AZ 85021-2813
(602) 325-2485
Mailing address
9835 N 16TH AVE, PHOENIX, AZ 85021-2108
(602) 628-8306

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
AZ

Other

Enumeration date
10/20/2021
Last updated
11/19/2021
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