Individual
JANETTE WADDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3102 S CLACK ST STE 4, ABILENE, TX 79606-8201
(325) 690-0063
Mailing address
10200 N COUNTY ROAD 405, MAY, TX 76857-3247
(325) 642-7991
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
158580
TX
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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