Individual
MS. MARYBETH KELLY WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
61 N WILLOW ST STE 4, MESQUITE, NV 89027-4786
(702) 346-4696
(702) 346-4699
Mailing address
61 N WILLOW ST STE 4, MESQUITE, NV 89027-4786
(702) 346-4696
(702) 346-4699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN62954
NV
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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