Individual
VALERIE M DETHLEFSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3643 N ROXBORO ST FL 6, DURHAM, NC 27704-2702
(984) 569-4040
Mailing address
1136 RANGER DR, HILLSBOROUGH, NC 27278-9035
(406) 391-3897
(406) 391-3897
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1401221308
VA
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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