Ms. Kristina Lawrence Wall, MEDICAID WAIVER PROV - Deltona, FL

Ms. Kristina Lawrence Wall, MEDICAIDWAIVERPROV

Specialist in Deltona, Florida

NPI 1790822682

Kristina Lawrence Wall is a Specialist based in Deltona, FL. Kristina Lawrence Wall practices in Deltona, FL and has the professional credentials of MEDICAIDWAIVERPROV. The NPI Number for Kristina Lawrence Wall is 1790822682 and holds a License No. 689432196 (Florida).

The current practice location address for Kristina Lawrence Wall is 151 Hummingbird St Apt B, Deltona, FL and can be reached out via phone at 386-216-3317.

Location: 151 Hummingbird St Apt B, Deltona, FL, 32725-8059

NPI Number

1790822682

Provider Name

Kristina Lawrence Wall

Credential

MEDICAIDWAIVERPROV

Provider Entity Type

Individual

Gender

Female

Address

151 Hummingbird St Apt B, Deltona, FL, 32725-8059

Phone Number

386-216-3317

Fax Number

Provider Enumeration Date

01/31/2007

Last Update Date

03/08/2024

Address

151 Hummingbird St Apt B

City

Deltona

State

Florida

Zip

32725-8059

Phone Number

386-216-3317

Fax Number

Address

151 Hummingbird St Apt B

City

Deltona

State

Florida

Zip

32725-8059

Phone Number

386-216-3317

Fax Number

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

689432196 (Florida)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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