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NPI Code Detail

MEDICARE: MRS. TAMIEKA NICOLE VALDEZ

MEDICARE: MRS. TAMIEKA NICOLE 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
1164W00000XLicensed Practical Nurse281417NY

General Provider Information

NPI Number : 1992113393
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMIEKA NICOLE VALDEZ
Provider Business Mailing Address
First Line : 680 RAMONA STREET
Second Line :
City : ROCHESTER
State : NY
Zip : 14615-3246
Country : US
Telephone Number : 585-685-5934
Fax Number :
Provider Business Practice Location Address
First Line : 680 RAMONA ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14615-3246
Country : US
Telephone Number : 607-767-5056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2014
Last Update Date : 08/08/2022

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Directions to “ MRS. TAMIEKA NICOLE VALDEZ ” Practice Location

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