Individual
DIANN WALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5511 SW 6TH ST, MARGATE, FL 33068-2901
(954) 336-3662
Mailing address
6905 NW 29TH CT, MARGATE, FL 33063-2056
(954) 336-3662
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
13714
FL
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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