Provider Demographics
NPI:1851968440
Name:TOOKES, VALERIE DENISE (NBC-HWC)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:DENISE
Last Name:TOOKES
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 FAIRMOUNT AVE APT 108
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5933
Mailing Address - Country:US
Mailing Address - Phone:510-326-7615
Mailing Address - Fax:
Practice Address - Street 1:77 FAIRMOUNT AVE APT 108
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5933
Practice Address - Country:US
Practice Address - Phone:510-326-7615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA745296565