LYLA DAE WATERS

DOTHAN, AL
NPI1588492722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-07-22
Last Update Date2024-07-22
Business Address
LYLA DAE WATERS
112 HAVEN DR
DOTHAN, AL 36301-2907
Phone number: 334-709-4024
Mailing Address
LYLA DAE WATERS
213 PINERIDGE RD # AL
TAYLOR, AL 36301-9197
Phone number: 334-547-1408