Individual
THOMAS WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4914 N 9TH ST APT 222, FRESNO, CA 93726-0831
(209) 914-6127
Mailing address
4914 N 9TH ST APT 222, FRESNO, CA 93726-0831
(209) 914-6127
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E178095
CA
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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