DR. John R. Wallis, D.MIN.
NPI #1023161197 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1023161197
- Entity Type
- Individual
- Name
- DR. John R. Wallis, D.MIN.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Pastoral
- Credential
- D.MIN.
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1417 SE 4TH ST
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33301-2319
- Phone
- (954) 463-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Pastoral — Pastoral |
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