Individual
MARY C VALTIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
691 S EL PRADO RD, YUMA, AZ 85364-2555
(928) 502-1411
Mailing address
691 S EL PRADO RD, YUMA, AZ 85364-2555
(928) 502-1411
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
06/28/2022
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