| NPI | 1982180527 |
|---|---|
| Former Name | JENNY KRISTINE VALLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2153) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 56489) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2019-10-24 |