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Individual

DR. MONICA JAYNE WALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3031 W HORIZON RIDGE PKWY STE 120, HENDERSON, NV 89052-3809
(702) 614-4476
(702) 914-7644
Mailing address
PO BOX 530245, HENDERSON, NV 89053-0245
(702) 614-4476
(702) 914-7644

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8291
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002002422
NV
01
110182576
RAILROAD MEDICARE
NV
Enumeration date
09/20/2006
Last updated
03/31/2020
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