Provider Demographics
NPI:1700371630
Name:VALDEZ, VANESSA (LVN)
Entity Type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MISS
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:VILLASENOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:338 MONTEREY ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3411
Mailing Address - Country:US
Mailing Address - Phone:831-484-6655
Mailing Address - Fax:831-424-9717
Practice Address - Street 1:338 MONTEREY ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3411
Practice Address - Country:US
Practice Address - Phone:831-484-6655
Practice Address - Fax:831-424-9717
Is Sole Proprietor?:No
Enumeration Date:2018-06-23
Last Update Date:2018-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN262659164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse