Individual
VALERIE DERISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2912 MOUNTAIN INDUSTRIAL BLVD STE A, TUCKER, GA 30084-3082
(470) 382-9511
Mailing address
2912 MOUNTAIN INDUSTRIAL BLVD STE A, TUCKER, GA 30084-3082
(470) 382-9511
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
PHCP011203
GA
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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