Provider Demographics
NPI:1003626029
Name:VALENZUELA, TERESITA LICELL (INTERPRETER)
Entity type:Individual
Prefix:
First Name:TERESITA
Middle Name:LICELL
Last Name:VALENZUELA
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2166 E DIAMOND AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-3729
Mailing Address - Country:US
Mailing Address - Phone:480-799-5403
Mailing Address - Fax:
Practice Address - Street 1:2166 E DIAMOND AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-3729
Practice Address - Country:US
Practice Address - Phone:480-799-5403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-11
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty