Provider Demographics
NPI:1912274465
Name:VALENTINE, CINDY R (RDCS, RVT)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:R
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:RDCS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10467 HART AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070-1127
Mailing Address - Country:US
Mailing Address - Phone:248-565-6567
Mailing Address - Fax:248-544-2727
Practice Address - Street 1:10467 HART AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070-1127
Practice Address - Country:US
Practice Address - Phone:248-565-6567
Practice Address - Fax:248-544-2727
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI16211246XS1301X, 246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography
No246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist