Individual
MS. VALERIE MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9149 TIVOLI PL, 9149 TIVOLI PLACE, BOCA RATON, FL 33434-5602
(561) 400-1505
Mailing address
9149 TIVOLI PL, 9149 TIVOLI PLACE, BOCA RATON, FL 33434-5602
(561) 400-1505
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN2538242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45
—
FL
Enumeration date
08/27/2012
Last updated
08/27/2012
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