Individual
MRS. JONELLE LYNAE VALLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 RUSH DRIVE, SALIDA, CO 81291
(719) 290-1367
Mailing address
PO BOX 2626, FORT WORTH, TX 76113-2626
(817) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
88951
CO
Other
Enumeration date
11/17/2011
Last updated
12/15/2015
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