JACQUELYN LEE VANDER WALL

LOS ALAMITOS, CA
NPI1699807792
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CA  G065045)
Enumeration Date2007-03-12
Last Update Date2025-11-30
Business Address
JACQUELYN LEE VANDER WALL M.D.
3460 KATELLA AVE
LOS ALAMITOS, CA 90720-2334
Phone number: 702-579-3203
Mailing Address
JACQUELYN LEE VANDER WALL M.D.
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone number: 702-579-3203
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