Alyssa Wall

NPI #1255146486 in Shawnee, Oklahoma

Provider Information

NPI Number
1255146486
Entity Type
Individual
Name
Alyssa Wall
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Feb 13, 2025
Last Updated
Feb 13, 2025

Practice Location

Address
781 GRAND CASINO BLVD
ZIP Code
74804-1005
Phone
(405) 964-5770

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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