Mary Beth Waller

NPI #1003411661 in Somerset, Kentucky

Provider Information

NPI Number
1003411661
Entity Type
Individual
Name
Mary Beth Waller
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Dec 2, 2020
Last Updated
Dec 2, 2020

Practice Location

Address
1471 BOAT DOCK RD
ZIP Code
42501-9246
Phone
(606) 492-7620

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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