Individual
MAKEBA WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5860 S COOPER ST STE 100, ARLINGTON, TX 76017-5100
(817) 235-2235
Mailing address
5860 S COOPER ST STE 100, ARLINGTON, TX 76017-5100
(817) 235-2234
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
42313
TX
Other
Enumeration date
02/16/2017
Last updated
06/08/2022
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