MEDICARE: DARLEISHIA VALCIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1831933407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLEISHIA VALCIN

Provider Business Mailing Address
First Line	:	4000 N STATE ROAD 7 STE 209E
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-4810
Country	:	US
Telephone Number	:	954-480-3655
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 N STATE ROAD 7 STE 209E
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-4810
Country	:	US
Telephone Number	:	954-480-3655
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2024
Last Update Date	:	06/28/2024

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Directions to “ DARLEISHIA VALCIN ” Practice Location

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