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Individual

JOSE CUARESMA VALDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2695
(313) 916-2687
Mailing address
1833 AXTELL DR APT 3, TROY, MI 48084-4414
(586) 838-7851

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001650
MI
363A00000X
Physician Assistant
PA9116040
FL

Other

Enumeration date
03/08/2006
Last updated
07/21/2023
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