Individual
MRS. SELISA MALVO VALYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5725
Mailing address
5656 PINEWOOD DR W, LAKE CHARLES, LA 70607-7576
(337) 499-3030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0225513
LA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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