Individual
AUDREY LISY VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-1000
Mailing address
1811 RIDGEWOOD RD, ORWIGSBURG, PA 17961-9526
(570) 573-1323
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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