Individual
LETRICIA LADIAMOND WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
26625 ROUNDUP WAY, APPLE VALLEY, CA 92308-0542
(323) 360-3779
Mailing address
26625 ROUNDUP WAY, APPLE VALLEY, CA 92308-0542
(323) 360-3779
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN246202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VN246202
—
CA
Enumeration date
03/30/2019
Last updated
04/07/2026
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