Individual
GLORIA MAURICIA VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
3338 S PARKSIDE DR, TEMPE, AZ 85282-4675
(480) 894-3205
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP042902
AZ
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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