Individual
FELICIA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5906 RANCHO MISSION RD UNIT 26, SAN DIEGO, CA 92108-2508
(704) 465-0505
Mailing address
5906 RANCHO MISSION RD UNIT 26, SAN DIEGO, CA 92108-2508
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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