NPI 1053946343

Kayla M Wallette, AAS

Practitioner Other Technician Rolla, ND

Practice location

Address: 1102 Main Ave, Rolla, ND 58367
Phone: (701) 477-9050
Mailing address: 200 Highway 2 W, Devils Lake, ND 58301-3532

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in North Dakota →

Registry record

NPI: 1053946343
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2020
Record last updated: 6 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.