Lyla Dae Waters
Lyla Dae Waters is a Student in an Organized Health Care Education/Training Program in Dothan, Alabama. Practices as a sole proprietor. Licensed in Alabama.
- Licensed in
- AL
- In the registry since
- 2024
Practice location Address checks out
112 Haven DrDothan, AL 36301-2907
Phone: (334) 709-4024
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (AL) |
|---|
Record details
| NPI number | 1588492722 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 22, 2024 |
| Last updated in NPPES | July 22, 2024 |
| Certification date | July 20, 2024 |
| Mailing address | 213 Pineridge Rd # Al, Taylor, AL 36301-9197 |
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