Mary Beth Waller
Mary Beth Waller is an Attendant Care Provider in Somerset, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1471 Boat Dock RdSomerset, KY 42501-9246
Phone: (606) 492-7620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1003411661 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 2, 2020 |
| Last updated in NPPES | December 2, 2020 |
| Certification date | December 2, 2020 |
| Mailing address | 1471 Boat Dock Rd, Somerset, KY 42501-9246 |
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