Individual
PATTY WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2803 LONE TREE LN, CENTRAL CITY, NE 68826-9442
(308) 946-2208
Mailing address
805 O ST, AURORA, NE 68818-1160
(402) 604-1103
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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