DONNIETRA LA'VERNE WALLS

JACKSON, MI
NPI1710654744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MI  2021034592)
Enumeration Date2021-08-26
Last Update Date2023-10-13
Business Address
DONNIETRA LA'VERNE WALLS AGACNP-BC
1201 E MICHIGAN AVE STE 240
JACKSON, MI 49201-1855
Phone number: 517-205-1591
Mailing Address
DONNIETRA LA'VERNE WALLS AGACNP-BC
1201 E MICHIGAN AVE STE 240
JACKSON, MI 49201-1855
Phone number: 517-205-1591
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