Manuel Enrique Valenzuela, COTA/L

NPI #1003326661 in Albuquerque, New Mexico

Provider Information

NPI Number: 1003326661
Entity Type: Individual
Name: Manuel Enrique Valenzuela, COTA/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: COTA/L
Enumeration Date: Oct 9, 2017
Last Updated: Oct 9, 2017

Practice Location

Address: 8016 PETROGLYPH AVE NW
City: Albuquerque
State: New Mexico
ZIP Code: 87120-6558
Phone: (505) 228-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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