Individual
CARLIE VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
601 NW 80TH ST, KANSAS CITY, MO 64118-1110
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
2019026153
MO
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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