Amanda Wall
NPI #1568217545 in Beaumont, California
Provider Information
- NPI Number
- 1568217545
- Entity Type
- Individual
- Name
- Amanda Wall
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Apr 22, 2024
- Last Updated
- Apr 22, 2024
Practice Location
- Address
- 1521 PACIFIC TRAILS WAY
- City
- Beaumont
- State
- California
- ZIP Code
- 92223-6429
- Phone
- (909) 728-8351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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