Individual
MRS. ROSA GUADALUPE VALDEZ DE VERDUZCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0148226
BCBS
AZ
Enumeration date
04/05/2006
Last updated
08/20/2015
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