NPI 1285950170

Debra Kay Waters, MLT

Practitioner Medical Laboratory Technician Ft. Washakie, WY

Practice location

Address: Black Coal Rd. Bldg. 29, Ft. Washakie, WY 82514
Phone: (307) 332-7672
Mailing address: 29 Black Coal Rd., Ft. Washakie, WY 82514

Registered specialties

Medical Laboratory Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RM2200X Licence 21259 (TN)

Other Technician, Pathology providers in Wyoming →

Registry record

NPI: 1285950170
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2010
Record last updated: 16 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.