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NPI Code Detail

MEDICARE: MR. SAMUEL FRANCISCO VALENCIA MENA RESEARCH

MEDICARE: MR. SAMUEL FRANCISCO VALENCIA MENA RESEARCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174H00000XHealth Educator

General Provider Information

NPI Number : 1639015092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SAMUEL FRANCISCO VALENCIA MENA RESEARCH
Provider Business Mailing Address
First Line : 2331 ATLAS PEAK RD
Second Line :
City : NAPA
State : CA
Zip : 94558-9665
Country : US
Telephone Number : 707-307-9901
Fax Number :
Provider Business Practice Location Address
First Line : 2331 ATLAS PEAK RD
Second Line :
City : NAPA
State : CA
Zip : 94558-9665
Country : US
Telephone Number : 707-307-9901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2026
Last Update Date : 04/28/2026

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