Provider Demographics
NPI:1316592777
Name:VALENCIA, OFELIA
Entity Type:Individual
Prefix:
First Name:OFELIA
Middle Name:
Last Name:VALENCIA
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 1:2330 PASEO DEL PRADO STE C307
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-0076
Mailing Address - Country:US
Mailing Address - Phone:725-600-7953
Mailing Address - Fax:
Practice Address - Street 1:2330 PASEO DEL PRADO STE C307
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-0076
Practice Address - Country:US
Practice Address - Phone:725-600-7953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant