Individual
JUAN PABLO VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W MARIPOSA RD, NOGALES, AZ 85621-1043
(251) 599-8479
Mailing address
70 W CAMINO RANCHO LUCIDO, SAHUARITA, AZ 85629-8971
(251) 599-8479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020303
AZ
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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