Individual
SONYA WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6025 DUSTIN RIDGE CT, RURAL HALL, NC 27045-9011
(336) 473-4430
Mailing address
6025 DUSTIN RIDGE CT, RURAL HALL, NC 27045-9011
(336) 473-4430
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
NC
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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