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Mckensie Wall, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1629771142

Mckensie Wall is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Mckensie Wall practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Mckensie Wall is 1629771142 and holds a License No. (California).

The current practice location address for Mckensie Wall is 200 W Arbor Dr # 633, San Diego, CA and can be reached out via phone at 858-249-1206 and via fax at 858-657-7212.

Location: 200 W Arbor Dr # 633, San Diego, CA, 92103-1911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629771142
Provider Name
Mckensie Wall
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
200 W Arbor Dr # 633, San Diego, CA, 92103-1911
Phone Number
858-249-1206
Fax Number
858-657-7212
Provider Enumeration Date
03/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 W Arbor Dr # 633
City
San Diego
State
California
Zip
92103-1911
Phone Number
858-249-1206
Fax Number
858-657-7212
person
Provider Business Mailing Address Details
Address
200 W Arbor Dr # 633
City
San Diego
State
California
Zip
92103-1911
Phone Number
858-249-1206
Fax Number
858-657-7212
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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