Heather Danielle Waldemar

NPI #1043868193 in Belleville, Illinois

Provider Information

NPI Number: 1043868193
Entity Type: Individual
Name: Heather Danielle Waldemar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 3, 2019
Last Updated: Sep 3, 2019

Practice Location

Address: 2600 W MAIN ST
City: Belleville
State: Illinois
ZIP Code: 62226-6651
Phone: (208) 380-2769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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