Individual
JESUS VALENTIN FLORES VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
3500 FOOTHILLS RD APT H1, LAS CRUCES, NM 88011-3618
(915) 207-4570
Mailing address
3500 FOOTHILLS RD APT H1, LAS CRUCES, NM 88011-3618
(915) 207-4570
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-154
TX
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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