| NPI | 1841592144 |
|---|---|
| Doing Business As | WALL FAMILY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-625-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MA05529400) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2016-03-01 |