Provider Demographics
NPI:1528876943
Name:VALDEZ PEREZ, AURA
Entity type:Individual
Prefix:
First Name:AURA
Middle Name:
Last Name:VALDEZ PEREZ
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 1:3306 WOODBURN VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-1248
Mailing Address - Country:US
Mailing Address - Phone:571-213-6102
Mailing Address - Fax:
Practice Address - Street 1:3306 WOODBURN VILLAGE DR
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-1248
Practice Address - Country:US
Practice Address - Phone:571-213-6102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide