Provider Demographics
NPI:1710160015
Name:VALDEZ, MELODY G (RN)
Entity Type:Individual
Prefix:MS
First Name:MELODY
Middle Name:G
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:MELODY
Other - Middle Name:
Other - Last Name:PARAISO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:24085 AMADOR ST
Mailing Address - Street 2:STE 110
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:74544
Mailing Address - Country:US
Mailing Address - Phone:510-670-8458
Mailing Address - Fax:510-670-8466
Practice Address - Street 1:24085 AMADOR ST
Practice Address - Street 2:STE 110
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:74544
Practice Address - Country:US
Practice Address - Phone:510-670-8458
Practice Address - Fax:510-670-8466
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN566383163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse