KELSI V WALLA

ALBUQUERQUE, NM
NPI1063904464
Former NameKELSEY V SULLIVAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2018-0032)
Enumeration Date2018-05-31
Last Update Date2023-07-05
Business Address
KELSI V WALLA PA
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2719
Phone number: 480-751-9804
Mailing Address
KELSI V WALLA PA
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2719
Phone number: