Heather Lynn Waller
NPI #1720692627 in Kermit, West Virginia
Provider Information
- NPI Number
- 1720692627
- Entity Type
- Individual
- Name
- Heather Lynn Waller
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Sep 8, 2020
- Last Updated
- Jun 24, 2021
Practice Location
- Address
- 172 MARROWBONE CREEK RD
- City
- Kermit
- State
- West Virginia
- ZIP Code
- 25674-8001
- Phone
- (304) 393-3509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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