Individual
MRS. VALERIE REBECCA DEFOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
58 BIG A RD, TOCCOA, GA 30577-6017
(706) 886-6819
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9012341-4405
UT
363L00000X
Nurse Practitioner
Primary
RN191233
GA
Other
Enumeration date
12/04/2020
Last updated
10/18/2023
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