Aliyah Wall

NPI #1053889667 in Fort Stewart, Georgia

Provider Information

NPI Number: 1053889667
Entity Type: Individual
Name: Aliyah Wall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Nov 13, 2018
Last Updated: Nov 13, 2018

Practice Location

Address: 351 W 6TH STREET
Address 2: BLDG 440
City: Fort Stewart
State: Georgia
ZIP Code: 31314
Phone: (912) 435-5826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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