Individual
NAKETA WAICHULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 OHM AVE, EAU CLAIRE, WI 54701-4611
(715) 514-2555
Mailing address
1620 OHM AVE, EAU CLAIRE, WI 54701-4611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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