Individual
MAKALA LEA WATRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
(979) 402-3881
Mailing address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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