Individual
PATRICIA ELAINE WAAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4132 VERMONT AVE, GRAND ISLAND, NE 68803-1060
(308) 383-5807
Mailing address
4132 VERMONT AVE, GRAND ISLAND, NE 68803-1060
(308) 383-5807
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
NE
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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