Individual
GRACE VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15108 NW 25TH TER, GAINESVILLE, FL 32609-5011
(352) 226-1298
Mailing address
15108 NW 25TH TER, GAINESVILLE, FL 32609-5011
(352) 226-1298
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
21695
FL
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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