Individual
MRS. ASHLEY MARIE WATERLOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7914 US HIGHWAY 158, STOKESDALE, NC 27357-9348
(336) 646-3151
Mailing address
7914 US HIGHWAY 158, STOKESDALE, NC 27357-9348
(336) 646-3151
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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