Individual
THOMAS SIMON VALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 PINBAARI DRIVE, ACOMA, NM 87034
(505) 552-6661
(505) 552-6426
Mailing address
PO BOX 328, ACOMA, NM 87034-0328
(505) 552-6661
(505) 552-6426
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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