Individual
AYANNA Z'KIYAH NNEKA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
Mailing address
4545 NE 125TH PL APT 111, PORTLAND, OR 97230-1245
(954) 774-0881
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN10042105
OR
164W00000X
Licensed Practical Nurse
PN5245304
FL
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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