Randall Walls JR.
NPI #1609482298 in Bruceton Mills, West Virginia
Provider Information
- NPI Number
- 1609482298
- Entity Type
- Individual
- Name
- Randall Walls JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Sep 18, 2020
- Last Updated
- Sep 18, 2020
Practice Location
- Address
- 2301 LAUREL RUN PISGAH RD
- City
- Bruceton Mills
- State
- West Virginia
- ZIP Code
- 26525-5693
- Phone
- (304) 685-8219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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