Provider Demographics
NPI:1194586073
Name:D. VALORE MEDICAL MASSAGE AND ORIENTAL THERAPIES, LLC
Entity type:Organization
Organization Name:D. VALORE MEDICAL MASSAGE AND ORIENTAL THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:VALORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-999-8345
Mailing Address - Street 1:605 MONROE ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-6368
Mailing Address - Country:US
Mailing Address - Phone:505-999-8345
Mailing Address - Fax:505-212-3287
Practice Address - Street 1:605 MONROE ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-6368
Practice Address - Country:US
Practice Address - Phone:505-999-8345
Practice Address - Fax:505-212-3287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty