DAVID LUCAS WALL

BROOKLYN, NY
NPI1841086212
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-15
Last Update Date2025-04-15
Business Address
DAVID LUCAS WALL
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 718-630-7000
Mailing Address
DAVID LUCAS WALL
8002 W ROSS AVE
PEORIA, AZ 85382-5435
Phone number: 602-377-2933