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Mashonda Waddell

NPI 1801483102 · on the registry since 2020 · sole proprietor

Practice

Address
144 Phillips Dr
Kelly, NC 28448
Phone
(910) 549-9386

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-21

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 North Carolina