Individual
SALLY JAYE VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 COMMONS AVE NE, ALBUQUERQUE, NM 87109-5831
(505) 923-4400
Mailing address
3820 COMMONS AVE NE, ALBUQUERQUE, NM 87109-5831
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-03279
NM
363LF0000X
Family Nurse Practitioner
CNP-03279
NM
Other
Enumeration date
07/09/2017
Last updated
03/03/2019
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