Provider Demographics
NPI:1225673973
Name:VALENCIA, JAZMIN PEREZ (RDN)
Entity Type:Individual
Prefix:
First Name:JAZMIN
Middle Name:PEREZ
Last Name:VALENCIA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12476 W NEVADA PL APT 207
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-3251
Mailing Address - Country:US
Mailing Address - Phone:616-706-6857
Mailing Address - Fax:
Practice Address - Street 1:12476 W NEVADA PL APT 207
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-3251
Practice Address - Country:US
Practice Address - Phone:616-706-6857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-16
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered