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Lenora Waddell

NPI 1407142821 · on the registry since 2011 · sole proprietor

Practice

Address
1490 County Road 220
T-1497
Fleming Island, FL 32003
Phone
(904) 278-9438
Fax
(904) 278-9438
Organisation at this address
Holiday Cvs Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida