Individual
DILLAN WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 BARRING PL, PALM COAST, FL 32137-8828
(386) 624-1641
(386) 585-4627
Mailing address
24 BARRING PL, PALM COAST, FL 32137-8828
(386) 864-3981
(386) 585-4627
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
W420-172-98-282-0
FL
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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