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Individual
DR. ALVIN REED WALTERS
Active
Individual
DR. ALVIN REED WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95010726
LICENSE/ FURNISHING NUMBER
CA
01
—
F01191203
AANP BOARD CERTIFICATION NUMBER
—
Enumeration date
02/01/2019
Last updated
02/01/2019
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