Individual
STACIE VALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9446 PHILLPS HWY, SUITE 3, JACKSONVILLE, FL 32256
(904) 475-9600
Mailing address
9480 PRINCETON SQUARE BLVD S APT 1911, JACKSONVILLE, FL 32256-8318
(215) 593-6835
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4295
FL
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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