Individual
MS. MARTA GRISEL VALADEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APP
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
(801) 662-4285
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363LN0000X
Neonatal Nurse Practitioner
Primary
9603671-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2022
Last updated
02/22/2023
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