Provider Demographics
NPI:1740277953
Name:TALENTO, VALERIE ECKLUND (DOM)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ECKLUND
Last Name:TALENTO
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:VALERIE
Other - Last Name:ECKLUND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DOM
Mailing Address - Street 1:711-A ENCINO PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-2652
Mailing Address - Country:US
Mailing Address - Phone:505-243-8058
Mailing Address - Fax:505-243-8057
Practice Address - Street 1:711-A ENCINO PL NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2652
Practice Address - Country:US
Practice Address - Phone:505-243-8058
Practice Address - Fax:505-243-8057
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM82171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist