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GEENA ADDISON VALDES

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1366020919

Individual Registrant:
 GEENA  ADDISON VALDES 
Gender: F
Sole Proprietor

Location and contact information for practice:
930 S MAIN ST  LABELLE, FL 33935-4448 US
Tel: 863-675-0160  Fax: --

Contact information for business:
PO BOX 1357  FORT MYERS, FL 33902-1357 US
Tel: --  Fax: --

Registration Information:
NPI: 1366020919
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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