Individual
EDITH WAMEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11400 158TH RD, MAYETTA, KS 66509-8866
(785) 966-8200
(785) 966-8386
Mailing address
11400 158TH RD, MAYETTA, KS 66509-8866
(785) 966-8200
(785) 966-8386
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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