Individual
VALAINE JOSEPH EUGENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8539 NW 20TH CT, SUNRISE, FL 33322-3801
(954) 865-4614
(954) 283-8153
Mailing address
8539 NW 20 CT, SUNRISE, FL 33322-3801
(954) 865-4614
(954) 283-8153
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906196
FL
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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