Individual
BROOKE VALLEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12918 S. HWY. 61, OLD APPLETON, MO 63770
(573) 846-8424
Mailing address
12918 S HIGHWAY 61, OLD APPLETON, MO 63770-7122
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
00000000000
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0000000000
MO
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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