Provider Demographics
NPI:1326365669
Name:SLOKA, VALERIE GOODAPPLE (RN)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:GOODAPPLE
Last Name:SLOKA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:JEAN
Other - Last Name:GOODAPPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5515 FOXTAIL LOOP
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-7153
Mailing Address - Country:US
Mailing Address - Phone:619-251-1483
Mailing Address - Fax:
Practice Address - Street 1:5515 FOXTAIL LOOP
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92010-7153
Practice Address - Country:US
Practice Address - Phone:619-251-1483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA606849163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management