IndividualActive
Carol Vallecalle
NPI 1407254394 · Contractor · Vail, AZ
Provider details
- NPI number
- 1407254394
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4729270 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
12119 E. Metz Dr
Vail, AZ 85641
Phone: (562) 381-5502
Approximate (ZIP-level) locationGet directions
Mailing address
Intermountain Centers for Human Development Inc
Tucson, AZ 85748
Registry dates
- Enumerated
- 2014-12-09
- Last updated
- 2019-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.