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Individual

JOSE' VALTIERRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5490 BROADWAY, L3, MERRILLVILLE, IN 46410-1675
(219) 985-6170
(219) 095-6097
Mailing address
5490 BROADWAY, L3, MERRILLVILLE, IN 46410-1675
(219) 985-6170
(219) 095-6097

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
IN

Other

Enumeration date
07/24/2009
Last updated
07/24/2009
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