Individual
MRS. YAIRA MICHELLE VALDIVIESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 MAIN STREET, PATERSON, NJ 07501
(973) 754-2000
Mailing address
1034 CLINTON ST APT 103, HOBOKEN, NJ 07030-3166
(917) 723-3909
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08797700
NJ
Other
Enumeration date
12/14/2007
Last updated
11/27/2012
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