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Individual

MS. VALLERIE ANNESTHER ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
615 WILSON AVE # L, TULLAHOMA, TN 37388-3264
(931) 455-9369
(931) 455-4827
Mailing address
202 TWERP TRL, ESTILL SPRINGS, TN 37330-3733
(931) 649-2214

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000061224
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4253
PROVIDER ID
TN
Enumeration date
03/07/2007
Last updated
07/08/2007
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