Individual
LIA A. VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8629 BALI RD, ELLICOTT CITY, MD 21043-6032
(505) 350-4287
Mailing address
8629 BALI RD, ELLICOTT CITY, MD 21043-6032
(505) 350-4287
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-R228298
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
56703
NM
Other
Enumeration date
03/05/2019
Last updated
09/07/2023
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