Provider Demographics
NPI:1942810643
Name:VALDEZ, ALESSANDRA ANGELICA (RPH)
Entity Type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:ANGELICA
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 CONQUEST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3040
Mailing Address - Country:US
Mailing Address - Phone:956-318-5159
Mailing Address - Fax:956-318-5174
Practice Address - Street 1:301 CONQUEST
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3040
Practice Address - Country:US
Practice Address - Phone:956-318-5159
Practice Address - Fax:956-318-5174
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist