Valencia, Kathleen Christine
Valencia, Kathleen Christine is an sole proprietor health care provider with primary practice located at 10330 S. Palominas Road , Hereford AZ 85615. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Valencia, Kathleen Christine can be contacted via phone (520) 366-0097.Contact Information
Primary practice address
10330 S. Palominas Road
Hereford AZ 85615
Phone: (520) 366-0097
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | Arizona |
Profile Details
| NPI number | 1477620532 |
|---|---|
| LBN Legal business name | Valencia, Kathleen Christine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 26th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477620532 | NPPES |
| Arizona | MEDICAID | 868979 |
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