Individual
NOLA ANNABELLE WAILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 INLAND DR STE A, NORTH BEND, OR 97459-1203
(541) 267-5221
Mailing address
227 MT HOLLY RD, KATONAH, NY 10536-3543
(914) 960-8610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17152
OR
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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