Provider Demographics
NPI:1831933407
Name:VALCIN, DARLEISHIA
Entity type:Individual
Prefix:
First Name:DARLEISHIA
Middle Name:
Last Name:VALCIN
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 1:4000 N STATE ROAD 7 STE 209E
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4810
Mailing Address - Country:US
Mailing Address - Phone:954-480-3655
Mailing Address - Fax:
Practice Address - Street 1:4000 N STATE ROAD 7 STE 209E
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-4810
Practice Address - Country:US
Practice Address - Phone:954-480-3655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-19
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach