Individual
BRENDA L CRESPO VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
597 3RD AVE, TROY, NY 12182-2509
(518) 233-0544
Mailing address
89C CARRIAGE HL, CLIFTON PARK, NY 12065-4239
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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