MEDICARE: ALMA LILLIAN VALDEZ

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
1	2355S0801X	Speech-Language Assistant	SLPA7500	AZ

General Provider Information

NPI Number	:	1700161650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALMA LILLIAN VALDEZ

Provider Business Mailing Address
First Line	:	5110 E DESERT STRAW LN
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85756-5187
Country	:	US
Telephone Number	:	520-234-3804
Fax Number	:

Provider Business Practice Location Address
First Line	:	5110 E DESERT STRAW LN
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85756-5187
Country	:	US
Telephone Number	:	520-234-3804
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2011
Last Update Date	:	10/11/2011

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Directions to “ ALMA LILLIAN VALDEZ ” Practice Location

Language	Start Address	Practice Location

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