Individual
STACEY JEWEL VALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
847 SW 60TH TER, GAINESVILLE, FL 32607-3661
(352) 226-6174
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0055
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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