Individual
VALERIE LYNN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
(505) 367-0340
Mailing address
PO BOX 779, LOS ALAMOS, NM 87544-0779
(505) 412-3840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
80298
NM
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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