Individual
MR. DE'JUAN LAMAR WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 802-4900
Mailing address
4130 N MLK BLVD, NORTH LAS VEGAS, NV 89032-0299
(702) 802-5757
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us