Individual
MYRA KAY WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 S HUMBOLDT ST, BATTLE MOUNTAIN, NV 89820-1988
(775) 635-2550
Mailing address
535 S HUMBOLDT ST, BATTLE MOUNTAIN, NV 89820-1988
(775) 635-2550
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
74266
NV
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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