Individual
JUAN ANDRES VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2507 MADISON AVE, OGDEN, UT 84401-2500
(801) 803-6434
(801) 807-0803
Mailing address
2507 MADISON AVE, OGDEN, UT 84401-2500
(801) 803-6434
(801) 807-0803
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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