Individual
JOSE ALBERT VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
1331 GUSDORF RD, TAOS, NM 87571-6282
(575) 758-3603
(575) 758-1058
Mailing address
PO BOX 158, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 747-7396
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0088761
NM
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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