Layla Rose Wall, RD Valid NPI
Individual provider · Registered Dietitian · Peridot, AZ
- NPI
- 1134768963
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- LD-0902 (NM)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-12-26
- Last updated
- 2019-12-26
Practice location
103 Medicine Road
Peridot, AZ 85542
(928) 475-1467