Jacqueline Thomas Walls

NPI #1033656939 in Demopolis, Alabama

Provider Information

NPI Number: 1033656939
Entity Type: Individual
Name: Jacqueline Thomas Walls
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 30, 2017
Last Updated: Jan 30, 2017

Practice Location

Address: 803 FLOYD AVE
City: Demopolis
State: Alabama
ZIP Code: 36732-3157
Phone: (334) 349-6916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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