Individual
DIANA L WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7312 W CHEYENNE AVE, SUITE 1, LAS VEGAS, NV 89129-7428
(702) 463-2223
(702) 463-2221
Mailing address
7312 W CHEYENNE AVE, SUITE 1, LAS VEGAS, NV 89129-7428
(702) 463-2223
(702) 463-2221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B00909
NV
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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