Individual
VALERIE BROOKE MOUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 S MAIN ST TRLR 36, LUMBERTON, TX 77657-9285
(337) 488-9600
Mailing address
1119 S MAIN ST TRLR 36, LUMBERTON, TX 77657-9285
(337) 488-9600
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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