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Individual

SIARA WALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
300 N RANDOLPHVILLE RD APT 114, PISCATAWAY, NJ 08854-3163
(908) 635-8148
Mailing address
300 N RANDOLPHVILLE RD APT 114, PISCATAWAY, NJ 08854-3163
(908) 635-8148

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ1547600
NJ

Other

Enumeration date
06/17/2025
Last updated
06/17/2025
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