Individual
MS. GRACE JULIA VALIULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3407
Mailing address
1013 TALL PINE RD, MOUNT PLEASANT, SC 29464-3529
(815) 981-2071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110007025
VA MEDICAL LICENSE
VA
Enumeration date
06/24/2019
Last updated
09/24/2020
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