Provider Demographics
NPI:1740749399
Name:KWARTENG, VALENTINA (RN)
Entity Type:Individual
Prefix:
First Name:VALENTINA
Middle Name:
Last Name:KWARTENG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4863 ORLECK PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-2510
Mailing Address - Country:US
Mailing Address - Phone:773-412-1464
Mailing Address - Fax:
Practice Address - Street 1:4863 ORLECK PL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92124-2510
Practice Address - Country:US
Practice Address - Phone:773-412-1464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN95173713163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse