Individual
JACOB SAMUEL VALENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3082 BRICKHOUSE CT, VIRGINIA BEACH, VA 23452-6859
(757) 302-5663
(757) 302-5458
Mailing address
3082 BRICKHOUSE CT, VIRGINIA BEACH, VA 23452-6859
(757) 302-5663
(757) 302-5458
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
163W00000X
Registered Nurse
Primary
33721
PR
164W00000X
Licensed Practical Nurse
33721
PR
246RP1900X
Phlebotomy Technician
—
—
Other
Enumeration date
09/30/2021
Last updated
10/10/2022
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