Individual
LAURA WAKELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30934 VINES CREEK RD, DAGSBORO, DE 19939-4357
(609) 204-4437
Mailing address
30934 VINES CREEK RD, DAGSBORO, DE 19939-4357
(609) 204-4437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0048404
DE
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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