Individual
JODI WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3003 HEALTH CENTER DR, SAN DIEGO, CA 92123-2700
(858) 939-4779
Mailing address
3707 BALBOA TER UNIT A, SAN DIEGO, CA 92117-5463
(858) 999-5622
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
646460
CA
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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