JOSHUA WALL

GAINESVILLE, FL
NPI1104234145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  AL 3641)
Enumeration Date2014-07-22
Last Update Date2014-07-22
Business Address
-- JOSHUA WALL ATC, LAT
1900 NW 13TH ST
GAINESVILLE, FL 32609-3411
Phone number: 336-908-2598
Mailing Address
-- JOSHUA WALL ATC, LAT
1015 NW 21ST AVE APT 127
GAINESVILLE, FL 32609-3448
Phone number: 336-908-2598