Provider Demographics
NPI:1891532958
Name:VALERIO, JUSTICE ZE'NAYDA
Entity type:Individual
Prefix:
First Name:JUSTICE
Middle Name:ZE'NAYDA
Last Name:VALERIO
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 1:607 FORRESTER ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-3539
Mailing Address - Country:US
Mailing Address - Phone:470-282-8573
Mailing Address - Fax:
Practice Address - Street 1:1221 VAN ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4633
Practice Address - Country:US
Practice Address - Phone:347-303-9036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant