Individual
WAVERLY HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(440) 654-1332
Mailing address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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