Individual
MRS. DARLENE WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 PENNSYLVANIA AVE, COATESVILLE, PA 19320-3677
(610) 384-4596
Mailing address
48 PENNSYLVANIA AVE, COATESVILLE, PA 19320-3677
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
PN254815L
PA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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