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Individual

MR. CARLOS A. VALENZUELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
230 E MARYDALE AVE, SOLDOTNA, AK 99669-7648
(907) 262-3119
(907) 262-9290
Mailing address
PO BOX 2949, SOLDOTNA, AK 99669-2949
(907) 262-3119

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NURU1329
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1581172
AK
Enumeration date
10/06/2005
Last updated
04/03/2025
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