Provider Demographics
NPI:1033955117
Name:VALADEZ, PRISCILLA GLORIA (RD)
Entity type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:GLORIA
Last Name:VALADEZ
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:PRISCILLA
Other - Middle Name:GLORIA
Other - Last Name:MAESTRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15023 PAMS WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-8250
Mailing Address - Country:US
Mailing Address - Phone:661-340-0217
Mailing Address - Fax:
Practice Address - Street 1:15023 PAMS WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93314-8250
Practice Address - Country:US
Practice Address - Phone:661-340-0217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered