Individual
HOLLY M WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 WHITE HORSE RD, SUITE D-105, VOORHEES, NJ 08043-2468
(856) 435-1777
(856) 435-7291
Mailing address
705 WHITE HORSE RD, SUITE D-105, VOORHEES, NJ 08043-2468
(856) 435-1777
(856) 435-7291
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00296400
NJ
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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