Provider Demographics
NPI:1972488039
Name:VALLE, WENDY ARISTOMELIA
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:ARISTOMELIA
Last Name:VALLE
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6234 ATLAS WAY # A
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93552-3463
Mailing Address - Country:US
Mailing Address - Phone:818-522-2349
Mailing Address - Fax:
Practice Address - Street 1:6234 ATLAS WAY # A
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93552-3463
Practice Address - Country:US
Practice Address - Phone:818-522-2349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program