Provider Demographics
NPI:1922381599
Name:WALTER SNEED, VALENITTA
Entity Type:Individual
Prefix:
First Name:VALENITTA
Middle Name:
Last Name:WALTER SNEED
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 1:3700 MCCANN RD APT 250
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-1707
Mailing Address - Country:US
Mailing Address - Phone:972-467-0894
Mailing Address - Fax:469-293-4841
Practice Address - Street 1:3700 MCCANN RD APT 250
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-1707
Practice Address - Country:US
Practice Address - Phone:972-467-0894
Practice Address - Fax:469-293-4841
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor