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Individual

KATIE ROSE WAECHTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6972 JASMINE CREEK WAY, LAS VEGAS, NV 89119-0401
(702) 338-7358
Mailing address
6972 JASMINE CREEK WAY, LAS VEGAS, NV 89119-0401
(702) 338-7358

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
09/19/2012
Last updated
09/19/2012
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