| Layla Rose Wall, RD | |
|
103 Medicine Road, Peridot, AZ 85542 | |
| (928) 475-1467 | |
| Not Available |
| Full Name | Layla Rose Wall |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 103 Medicine Road, Peridot, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134768963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-0902 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Layla Rose Wall, RD 226 Natalie Ave Nw, Albuquerque, NM 87107-5237 Ph: (505) 967-8768 | Layla Rose Wall, RD 103 Medicine Road, Peridot, AZ 85542 Ph: (928) 475-1467 |
Amanda Huber, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542 Phone: 217-820-8705 | |
Tamara Scott, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 103 Medicine Way Road, Peridot, AZ 85542 Phone: 928-475-1343 | |
Mrs. Rachel Ann Shorthouse, MPH, MS, RD Dietitian Medicare: Medicare Enrolled Practice Location: 103 Medicine Way Road, San Carlos Apache Healthcare Corp, Peridot, AZ 85542 Phone: 928-475-1469 |