Individual
VALERIE RENITA GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-4000
(334) 793-5000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN098048
GA
Other
Enumeration date
04/26/2017
Last updated
04/04/2018
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