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MR. DE'JUAN LAMAR WALLACE
NPI 1487043139
Rehabilitation Practitioner in Las Vegas, NV

Active since January 20, 2015
6889 S EASTERN AVE, LAS VEGAS, NV 89119(702) 802-4900 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. De'juan Lamar Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DE'JUAN LAMAR WALLACE (NPI 1487043139) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1487043139
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameMR. DE'JUAN LAMAR WALLACE
Location Address6889 S EASTERN AVELas Vegas, NV 89119-4687
Mailing Address4130 N Mlk BlvdNorth Las Vegas, NV 89032-0299 · (702) 802-5757
Phone(702) 802-4900
Sole ProprietorYes
Enumeration DateJanuary 20, 2015
✔ NPI 1487043139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
6889 S EASTERN AVE, Las Vegas, NV 89119
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE HOSLEY
Rehabilitation Practitioner
6889 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 434-1200
MS. VYRANETT BLACK
Rehabilitation Practitioner
6889 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 434-1200
GINA MANGIN
Rehabilitation Practitioner
6889 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 434-1200
MRS. LATRENDA YVETTE WHITE
Rehabilitation Practitioner
6889 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 434-1200
ISAIAH HILL
Rehabilitation Practitioner
6889 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 434-1200
SERENITY BEHAVIORAL HEALTH
Counselor (Mental Health)
6889 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 285-8913
CELESTE GIL
Rehabilitation Practitioner
6889 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 434-1200
BEATRIZ RAMIREZ CORTEZ
Rehabilitation Practitioner
6889 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 434-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is De'juan Wallace's NPI number?

The NPI number for De'juan Wallace is 1487043139. It was assigned to this individual provider in the NPPES registry on January 20, 2015.

Where is De'juan Wallace located?

De'juan Wallace practices at 6889 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 802-4900.

What is De'juan Wallace's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for De'juan Wallace was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.