Individual
MR. ALEXANDER NICOLAS VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2021 S STATE ST, PROVO, UT 84606-6552
(801) 512-3343
Mailing address
2021 S STATE ST, PROVO, UT 84606-6552
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
UT
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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