Individual
DIANA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 CRYSTAL RUN RD STE 201, MIDDLETOWN, NY 10941-7010
(845) 692-4391
Mailing address
75 CRYSTAL RUN RD STE 201, MIDDLETOWN, NY 10941-7010
(845) 692-4391
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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