Organization
ALL ABOUT HER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M WAYNE CMF (OWNER)
(316) 461-8776
Entity
Organization
Contact information
Practice address
536 S BLUFF ST, WICHITA, KS 67218-2120
(316) 260-9608
(316) 260-9371
Mailing address
536 S BLUFF ST, WICHITA, KS 67218-2120
(316) 260-9608
(316) 260-9371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/16/2012
Last updated
04/04/2013
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