Individual
VIRGINIA R WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MN, IBCLC
Contact information
Practice address
1959 NE PACIFIC ST, MAILBOX 356079, SEATTLE, WA 98195-0001
(206) 598-4628
(206) 598-2939
Mailing address
1959 NE PACIFIC ST, MAILBOX 356079, SEATTLE, WA 98195-0001
(206) 598-4628
(206) 598-2939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00072084
WA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN00072084
WA
Other
Enumeration date
08/15/2012
Last updated
09/25/2012
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