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Individual

SUNNY DAY DEEDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3640 W WACO DR, WACO, TX 76710-5345
(254) 307-8607
Mailing address
3640 W WACO DR, WACO, TX 76710-5345
(254) 307-8607

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
741324
TX
163WP0200X
Pediatric Registered Nurse
741324
TX

Other

Enumeration date
07/23/2018
Last updated
07/23/2018
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