Individual provider · NPI-1
Maria Valencia
Dietary Manager · Las Vegas, NV
NPI number1285070268
StatusActive
Last updated in NPPESMay 16, 2013
Details
- NPI
- 1285070268
- Entity type
- Individual (NPI-1)
- Name
- Maria Valencia
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2013
- Last updated
- May 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 132700000X | Dietary Manager | – | – | Yes |
Practice location
1200 Harris Springs RdLas Vegas, NV 89124-9215
Phone 702-872-5382
Mailing address
4525 Evergreen PlLas Vegas, NV 89107-4263
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