Individual
DOLORES VALLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 YALE BLVD SE, ALBUQUERQUE, NM 87106-4217
(505) 994-7952
Mailing address
2600 YALE BLVD SE, ALBUQUERQUE, NM 87106-4217
(505) 994-7952
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R67906
NM
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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