Individual
VALERIE FAULCKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
410 CLAIRIDGE LN, LAWRENCEVILLE, GA 30046-7728
(267) 973-8689
Mailing address
410 CLAIRIDGE LN, LAWRENCEVILLE, GA 30046-7728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN199182
GA
171W00000X
Contractor
Primary
RN575484
PA
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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