Individual
LACEE SHAEE VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
340 NW 5TH ST STE 202, REDMOND, OR 97756-1869
(800) 465-3203
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(800) 465-3203
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10012294
OR
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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