Individual provider · Type 1 NPI
Kristina Lawrence Wall, MEDICAID WAIVER PROV
Specialist · Deltona, FL
NPI number
1790822682
Active
Practice location
151 Hummingbird St Apt B
Deltona, FL 32725-8059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 689432196 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Deltona
About NPI 1790822682
Kristina Lawrence Wall, MEDICAID WAIVER PROV's National Provider Identifier is 1790822682, issued on Jan 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Deltona, FL. The record was last updated on Jul 8, 2007.