IndividualActive
Alex Valencia, IDC
NPI 1902249436 · Independent Duty Corpsman · Kailua, HI
Provider details
- NPI number
- 1902249436
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
3005 Glen Cove
Kailua, HI 96734-3004
Phone: (520) 256-3319
Approximate (ZIP-level) locationGet directions
Mailing address
3005 Glen Cove
Kailua, HI 96734-3004
Registry dates
- Enumerated
- 2013-04-15
- Last updated
- 2013-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.