MISS Nichoelle Renee Wall, PA
NPI #1407009418 in Pasco, Washington
Provider Information
- NPI Number
- 1407009418
- Entity Type
- Individual
- Name
- MISS Nichoelle Renee Wall, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Nov 4, 2008
- Last Updated
- Apr 15, 2019
Practice Location
- Address
- 5304 N ROAD 68
- City
- Pasco
- State
- Washington
- ZIP Code
- 99301-8078
- Phone
- (509) 543-9300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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