Most Relevant Information
Provider Data
| NPI Number: | 1003370602 |
| Provider Name: | NINA VALTER |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: | 500652471 |
Most Important Dates
| Enumeration Date: | 01/28/2019 |
| Last Updated: | 01/28/2019 |
Provider Practice Location
23380 NE VILLAGE CT
WOOD VILLAGE
OR
970602858
Practice Location Phone/Fax
| Phone: | 5034626592 |
| Fax: |
Provider Mailing Location
23380 NE VILLAGE CT
WOOD VILLAGE
OR
970602858
Provider Mailing Phone/Fax
| Phone: | 5034626592 |
| Fax: |