Individual
JEANETTE VALENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036100498
IL
207R00000X
Internal Medicine Physician
Primary
DR-52212
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361004981
—
IL
05
—
70234833
—
CO
Enumeration date
07/18/2005
Last updated
11/11/2013
Update your record
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