Individual
FANNIE C VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7031 COOLIDGE ST, HOLLYWOOD, FL 33024-3819
(954) 668-0333
Mailing address
7031 COOLIDGE ST, HOLLYWOOD, FL 33024-3819
(954) 668-0333
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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