Individual
WALTELLA HAYWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2740 S JONES BLVD STE H, LAS VEGAS, NV 89146-5306
(702) 248-8866
Mailing address
2740 S JONES BLVD STE H, LAS VEGAS, NV 89146-5398
(626) 715-2021
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/06/2011
Last updated
04/14/2023
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