Individual
MR. JOSE JUAN VALADEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 PHIL HANSEN DR, CANUTILLO, TX 79835-6488
(915) 243-4049
Mailing address
808 PHIL HANSEN DR, CANUTILLO, TX 79835-6488
(915) 243-4049
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/15/2015
Last updated
10/20/2016
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