person
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
person
Provider Profile Details
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
institution
Provider Business Practice Location Address Details
Address
151 Hummingbird St Apt B
City
State
Zip
32725-8059
Phone Number
386-216-3317
Fax Number
person
Provider Business Mailing Address Details
Address
151 Hummingbird St Apt B
City
State
Zip
32725-8059
Phone Number
386-216-3317
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
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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