Provider Demographics
NPI:1780183368
Name:ROBINSON, VALERIE DEANGELA
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:DEANGELA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 FLOWERING PEACH CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-6010
Mailing Address - Country:US
Mailing Address - Phone:901-505-3098
Mailing Address - Fax:
Practice Address - Street 1:3808 FLOWERING PEACH CV
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-6010
Practice Address - Country:US
Practice Address - Phone:901-505-3098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-08
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant