Provider Demographics
NPI:1700184066
Name:TUREK DE VALERI, ROSANA CLAUDIA (MAC, LAC)
Entity Type:Individual
Prefix:
First Name:ROSANA
Middle Name:CLAUDIA
Last Name:TUREK DE VALERI
Suffix:
Gender:F
Credentials:MAC, LAC
Other - Prefix:
Other - First Name:ROSANA
Other - Middle Name:TUREK
Other - Last Name:VALERI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MAC, LAC
Mailing Address - Street 1:23842 BENNETT CHASE DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-5317
Mailing Address - Country:US
Mailing Address - Phone:301-379-4927
Mailing Address - Fax:
Practice Address - Street 1:23842 BENNETT CHASE DR
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-5317
Practice Address - Country:US
Practice Address - Phone:301-379-4927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01671171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU01671OtherDEPARTMENT OF HEALTH AND MENTAL HYGIENE / LICENSED ACUPUNCTURIST