Lilianna Wallace
Lilianna Wallace is an Athletic Trainer in Las Vegas, Nevada. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
10527 Jade Walk StLas Vegas, NV 89179-1489
Phone: (312) 639-3130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1548012198 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 4, 2024 |
| Last updated in NPPES | April 4, 2024 |
| Certification date | April 4, 2024 |
| Mailing address | 10527 Jade Walk St, Las Vegas, NV 89179-1489 |
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