Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARQUITA LATRICE WALLS
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · GROVER, NC
Registration Details
- NPI Number
- 1821631532
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2019 (6.4903259875722 yrs)
- Last Updated
- Oct 25, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1565 LONGBRANCH RDGROVER, NC, 280739599Browse NC providers · Browse ZIP 28073
- Phone
- 7049150282
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.