Individual
SALISIA SHUNTA VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1505 PELHAM RD S, SUITE 2, JACKSONVILLE, AL 36265-3706
(256) 435-7300
(256) 435-7305
Mailing address
702 ALEXANDRIA RD, WEAVER, AL 36277-4318
(256) 283-2917
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-098772
AL
Other
Enumeration date
11/03/2010
Last updated
11/04/2010
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