Individual
SERGIO VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 S NATIONAL AVE # PROF160, SPRINGFIELD, MO 65897-0001
(417) 836-5000
Mailing address
1419 WALNUT ST, PERU, IL 61354-2001
(815) 535-6056
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004165
IL
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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