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Organization

RAQUEL WALL NP, LLC

Active
Other names
Beauty Restored and Wellness LLC
Organization subpart
No

Provider details

NPI number
Authorized official
RAQUEL ANN WALL APRN - NP (OWNER)
(435) 359-3115
Entity
Organization

Contact information

Practice address
1490 E FOREMASTER DR STE 320, ST GEORGE, UT 84790-4505
(435) 359-3115
(435) 274-0870
Mailing address
1490 E FOREMASTER DR STE 320, ST GEORGE, UT 84790-4505
(435) 359-3115
(435) 291-1096

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
02/23/2022
Last updated
10/31/2023
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