Individual
CHEYENNE MARIE WALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
800 SCENIC DR BLDG 4, MODESTO, CA 95350-6131
(209) 525-6146
Mailing address
800 SCENIC DR BLDG 4, MODESTO, CA 95350-6131
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
709198
CA
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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