Idaho
Division of Occupational and Professional Licenses
NICHOELLE RENEE WALL
Board Of Medicine
License number
PA-781
Date granted
10/22/2008
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1979 Snyder St. Suite #150 Richland WA 99354
idaholicensing.com
ID 48385410
LAST UPDATED 2024-05-14 16:03:55 UTC
LAST UPDATED 2024-05-14 16:03:55 UTC
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