Individual
TESSA VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
2600 W MAIN ST, BELLEVILLE, IL 62226-6651
(618) 239-6109
Mailing address
6205 ROBERT AVE APT 2N, SAINT LOUIS, MO 63109-3867
(636) 667-1352
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
096003918
IL
207PS0010X
Sports Medicine (Emergency Medicine) Physician
2013005311
MO
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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