Individual
SHERENA R VALICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4151 MEMORIAL DR, SUITE 209C, DECATUR, GA 30032-1504
(404) 508-0078
(404) 508-0071
Mailing address
7047 RAVENWOOD LN, LITHONIA, GA 30038-7535
(860) 250-6562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN211202
GA
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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