Jo Lena Wall, PA-C

NPI #1154511129 in Plains, Texas

Provider Information

NPI Number: 1154511129
Entity Type: Individual
Name: Jo Lena Wall, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 26, 2007
Last Updated: Jul 26, 2007

Practice Location

Address: 703 AVE G
City: Plains
State: Texas
ZIP Code: 79355
Phone: (806) 456-6365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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