JODY LEE WALL

NEWARK, OH
NPI1245648971
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50.005258RX)
Enumeration Date2014-07-25
Last Update Date2022-12-15
Business Address
Mrs. JODY LEE WALL PA-C
1320 W MAIN ST
NEWARK, OH 43055-1822
Phone number: 220-564-4151
Mailing Address
Mrs. JODY LEE WALL PA-C
1320 W MAIN ST
NEWARK, OH 43055-1822
Phone number: 220-564-4151