Provider Demographics
NPI:1821273129
Name:VALDES, CINTHYA
Entity Type:Individual
Prefix:MS
First Name:CINTHYA
Middle Name:
Last Name:VALDES
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 1:445 N SESSIONS ST NW
Mailing Address - Street 2:2206
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1363
Mailing Address - Country:US
Mailing Address - Phone:917-496-1858
Mailing Address - Fax:
Practice Address - Street 1:445 N SESSIONS ST NW
Practice Address - Street 2:2206
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1363
Practice Address - Country:US
Practice Address - Phone:917-496-1858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor