DONALD VINCENT WALL

FORT MOHAVE, AZ
NPI1659191906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AZ  313585)
Enumeration Date2024-10-11
Last Update Date2024-10-11
Business Address
DONALD VINCENT WALL
5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426-9225
Phone number: 928-788-2273
Mailing Address
DONALD VINCENT WALL
534 ENCHANTED LAKES DR
HENDERSON, NV 89052-5626
Phone number: 702-513-9070