Individual
MR. EDWARD VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
176 SUNRISE RD, SAN FELIPE PB, NM 87001-8019
(505) 771-9900
Mailing address
176 SUNRISE RD, SAN FELIPE PB, NM 87001-8019
(505) 771-9900
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
436
NM
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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