Joseph Waller

NPI #1184021149 in Pahrump, Nevada

Provider Information

NPI Number
1184021149
Entity Type
Individual
Name
Joseph Waller
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Nov 19, 2014
Last Updated
Nov 19, 2014

Practice Location

Address
5126 HOMESTEAD RD
State
Nevada
ZIP Code
89048-7535
Phone
(775) 910-2816

Specialties & Taxonomy Codes

Specialty
Counselor

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