Provider Demographics
NPI:1154082550
Name:VALENTINO, JULIA
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:VALENTINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:NOONAN
Mailing Address - State:ND
Mailing Address - Zip Code:58765-4017
Mailing Address - Country:US
Mailing Address - Phone:559-240-9990
Mailing Address - Fax:
Practice Address - Street 1:111 PIERCE ST
Practice Address - Street 2:
Practice Address - City:NOONAN
Practice Address - State:ND
Practice Address - Zip Code:58765-4017
Practice Address - Country:US
Practice Address - Phone:559-240-9990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant