Most Relevant Information
Provider Data
| NPI Number: | 1003661190 |
| Provider Name: | MICHELLE IRENE VALDES |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2024 |
| Last Updated: | 04/22/2024 |
Provider Practice Location
1 KNEELAND ST
BOSTON
MA
021111527
Practice Location Phone/Fax
| Phone: | 6176366828 |
| Fax: |
Provider Mailing Location
99 KNEELAND ST APT 1704
BOSTON
MA
021112446
Provider Mailing Phone/Fax
| Phone: | 9547904075 |
| Fax: |