Individual
LORALYN WAFFUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3320 OAKWELL CT, SAN ANTONIO, TX 78218-3128
(210) 829-5180
Mailing address
3320 OAKWELL CT, SAN ANTONIO, TX 78218-3128
(210) 829-5180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT84288
TX
363AM0700X
Medical Physician Assistant
Primary
PA16989
TX
Other
Enumeration date
10/07/2016
Last updated
07/01/2024
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