| NPI | 1245054006 |
|---|---|
| Former Name | ALEXANDER JOSEPH VALLARTA |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2025-07-01 |