Yenisleydi Valdivia Villavicencio
Yenisleydi Valdivia Villavicencio is a Physician Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona and Florida.
- Licensed in
- AZ, FL
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
3201 W Peoria Ave Ste A202Phoenix, AZ 85029-4602
Phone: (602) 863-1716
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 10340 (AZ) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence TPPA543 (FL) |
Record details
| NPI number | 1881395044 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2023 |
| Last updated in NPPES | May 30, 2024 |
| Certification date | May 30, 2024 |
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