Kassie Waller

NPI #1073241477 in Atoka, Oklahoma

Provider Information

NPI Number
1073241477
Entity Type
Individual
Name
Kassie Waller
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Aug 12, 2022
Last Updated
Aug 12, 2022

Practice Location

Address
1680 S GREATHOUSE DRIVE
City
Atoka
ZIP Code
74525-7452
Phone
(808) 896-6115

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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