DENNIS WAYNE WALLER

JEFFERSON, TX
NPI1477035061
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  225710)
Enumeration Date2018-08-30
Last Update Date2018-08-30
Business Address
DENNIS WAYNE WALLER
120 N WALNUT ST
JEFFERSON, TX 75657-1934
Phone number: 903-665-6131
Mailing Address
DENNIS WAYNE WALLER
PO BOX 901
JEFFERSON, TX 75657-0901
Phone number:
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