JALYSSA ERICKA VALENCIA

WAGONER, OK
NPI1851068407
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2021-08-23
Last Update Date2023-02-23
Business Address
JALYSSA ERICKA VALENCIA
2109 S HIGHWAY 69
WAGONER, OK 74467-9310
Phone number: 918-485-6069
Mailing Address
JALYSSA ERICKA VALENCIA
2109 S HIGHWAY 69
WAGONER, OK 74467-9310
Phone number: 918-485-6069
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