Individual
DR. SANDIA MARIE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
225700000X
Massage Therapist
7501001646
MI
Other
Enumeration date
08/21/2018
Last updated
04/17/2025
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