Individual
MRS. THERESE M. WAUTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
24364 GIVENS CIR, GEORGETOWN, DE 19947-6851
(302) 663-0934
Mailing address
24364 GIVENS CIR, GEORGETOWN, DE 19947-6851
(302) 663-0934
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
L1-0047536
DE
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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