Individual
KAYLA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
30 JOSEPH CT, SAN RAFAEL, CA 94903-2664
(415) 785-4993
(415) 599-4362
Mailing address
4 CRESTA CIR APT 1, SAN RAFAEL, CA 94903-5563
(347) 571-7110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
26NP07315100
NJ
164W00000X
Licensed Practical Nurse
Primary
760190
CA
164W00000X
Licensed Practical Nurse
867881
NV
Other
Enumeration date
10/12/2023
Last updated
07/17/2026
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