Individual
MERCY DIANA VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
751 W LEGION RD, BRAWLEY, CA 92227-7732
(209) 956-7725
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
235754
CA
363LW0102X
Women's Health Nurse Practitioner
NP95003076
CA
367A00000X
Advanced Practice Midwife
Primary
235754
CA
Other
Enumeration date
10/01/2015
Last updated
12/02/2019
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