Provider Demographics
NPI:1184117558
Name:VALENCIA, CINDY
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:VALENCIA
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 1:12681 SUNSWEPT AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-4410
Mailing Address - Country:US
Mailing Address - Phone:714-376-0572
Mailing Address - Fax:
Practice Address - Street 1:12681 SUNSWEPT AVE APT 6
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4410
Practice Address - Country:US
Practice Address - Phone:714-376-0572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other