Provider Demographics
NPI:1952823866
Name:VALENZUELA, OLIVIA ROSARIO (NATURAL MEDICINE DR)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ROSARIO
Last Name:VALENZUELA
Suffix:
Gender:F
Credentials:NATURAL MEDICINE DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 N CIRCLE DR STE 6
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-2444
Mailing Address - Country:US
Mailing Address - Phone:719-471-3535
Mailing Address - Fax:719-329-0382
Practice Address - Street 1:1819 N CIRCLE DR STE 6
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-2444
Practice Address - Country:US
Practice Address - Phone:719-471-3535
Practice Address - Fax:719-329-0382
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV81004175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath