Individual
MS. VETEMA GLORIA VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1811 DALTON ST, ALCOA, TN 37701
(865) 363-4845
Mailing address
1811 DALTON ST, ALCOA, TN 37701
(865) 363-4845
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000058575
TN
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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