Organization
FSP HEALTH MINISTRIES
Active
Other names
CAMILLUS HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RUDY VALENZUELA NP (CEO/PRESIDENT)
(928) 627-2055
Entity
Organization
Contact information
Practice address
1914 E. JUAN SANCHEZ BLVD, SUITE 2, SAN LUIS, AZ 85349
(928) 627-2055
(928) 627-2456
Mailing address
PO BOX 7053, SAN LUIS, AZ 85349-6805
(928) 627-2055
(928) 627-2456
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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