Provider Demographics
NPI:1457144149
Name:VALLE FRIAS, KAREN ALEJANDRA
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ALEJANDRA
Last Name:VALLE FRIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3496 VICTORY AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-7219
Mailing Address - Country:US
Mailing Address - Phone:702-689-7321
Mailing Address - Fax:
Practice Address - Street 1:CEB 226, 4505 S MARYLAND PKWY BOX #453033
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89154
Practice Address - Country:US
Practice Address - Phone:702-895-1532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program