Individual
VALORIE LATRICE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 UTAH CIR, ADEL, GA 31620-5212
(229) 507-4556
Mailing address
107 UTAH CIR, ADEL, GA 31620-5212
(229) 507-4556
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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