MRS. Diane Wade Whaley, ABOC
NPI #1912912395 in Bossier City, Louisiana
Provider Information
- NPI Number
- 1912912395
- Entity Type
- Individual
- Name
- MRS. Diane Wade Whaley, ABOC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- ABOC
- Enumeration Date
- Jul 31, 2006
- Last Updated
- Feb 4, 2008
Practice Location
- Address
- 2353 AIRLINE DR
- Address 2
- SUITE B
- City
- Bossier City
- State
- Louisiana
- ZIP Code
- 71111-5810
- Phone
- (318) 747-9227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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