TEEGAN NICOLE WALTZ

CENTRALIA, WA
NPI1891411161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2022-10-18
Last Update Date2022-10-20
Business Address
TEEGAN NICOLE WALTZ
3510 STEELHAMMER DR
CENTRALIA, WA 98531-4551
Phone number: 360-623-8020
Mailing Address
TEEGAN NICOLE WALTZ
1401 JOHNSON RD APT 53
CENTRALIA, WA 98531-4574
Phone number: