Individual
CATRINA ELIZABETH WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 CAPITOL TRL, NEWARK, DE 19711-5709
(302) 577-0906
Mailing address
1423 CAPITOL TRL, NEWARK, DE 19711-5709
(302) 577-0906
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0024178
DE
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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