Individual
MRS. JACQUE MICHELLE VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
1500 S AVE K, STATION #9, PORTALES, NM 88130
(505) 562-4455
Mailing address
2157 CURRY RD AL, MELROSE, NM 88124
(505) 372-2148
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1202
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73185
—
NM
Enumeration date
11/20/2006
Last updated
07/08/2007
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