Individual
MRS. STEPHANIE ANN WALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
84304 MESQUITE TRL # 2, FORT HOOD, TX 76544-1853
(141) 446-0598
Mailing address
84304 MESQUITE TRL # 2, FORT HOOD, TX 76544-1853
(141) 446-0598
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
11930
TX
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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