Heather Lynn Waller
Heather Lynn Waller is a Personal Care Attendant in Kermit, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
172 Marrowbone Creek RdKermit, WV 25674-8001
Phone: (304) 393-3509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1720692627 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 8, 2020 |
| Last updated in NPPES | June 24, 2021 |
| Certification date | June 24, 2021 |
| Mailing address | Po Box 1079, Kermit, WV 25674-1079 |
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