Individual
CHERYL LYNN WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7135 BRIGGS AVE, COCOA, FL 32927-8016
(321) 537-4381
Mailing address
7135 BRIGGS AVE, COCOA, FL 32927-8016
(321) 537-4381
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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