Provider Demographics
NPI:1124273982
Name:GUZMAN, VALENTINE (DC)
Entity type:Individual
Prefix:DR
First Name:VALENTINE
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 MACDADE BLVD
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033-3310
Mailing Address - Country:US
Mailing Address - Phone:484-433-7326
Mailing Address - Fax:
Practice Address - Street 1:416 MACDADE BLVD
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:PA
Practice Address - Zip Code:19033-3310
Practice Address - Country:US
Practice Address - Phone:484-433-7326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-003905R111NS0005X
TX4084111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician