Individual
CAROL WADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
13737 NOEL RD, DALLAS, TX 75240-1331
(214) 754-8700
Mailing address
808 WILMOR CT, ARLINGTON, TX 76018-1737
(817) 201-8601
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
205759
TX
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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