Provider Demographics
NPI:1538539721
Name:VALEAN, DORINA
Entity type:Individual
Prefix:
First Name:DORINA
Middle Name:
Last Name:VALEAN
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 1:9102 W WHITE FEATHER LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-4635
Mailing Address - Country:US
Mailing Address - Phone:623-266-3574
Mailing Address - Fax:
Practice Address - Street 1:9102 W WHITE FEATHER LN
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-4635
Practice Address - Country:US
Practice Address - Phone:623-266-3574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL9725H310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility