| NPI | 1740367374 |
|---|---|
| Other Name | RUDY VALENZUELA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP1549) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 15970) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 9209973) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-20 |