Mr. De'Juan Lamar Wallace
Mr. De'Juan Lamar Wallace is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
6889 S Eastern AveLas Vegas, NV 89119-4687
Phone: (702) 802-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1487043139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 20, 2015 |
| Last updated in NPPES | January 20, 2015 |
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