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Individual

MS. KELLY M VEGA-VALENZUELA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
220 DEXTER ST E, CHESAPEAKE, VA 23324-3057
(757) 450-9464
Mailing address
220 DEXTER ST E, CHESAPEAKE, VA 23324-3057
(757) 450-9464

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005509
VA

Other

Enumeration date
10/29/2012
Last updated
10/29/2012
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