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Kristina Wall, MEDICAID WAIVER PROV
NPI 1790822682 · on the registry since 2007 · sole proprietor
Practice
- Address
- 151 Hummingbird St Apt B
Deltona, FL 32725 - Phone
- (386) 216-3317
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida