Individual
DR. WALLY HOSN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 PEACH ST, SUITE D, SAN LUIS OBISPO, CA 93401-2837
(805) 541-0330
(805) 541-6809
Mailing address
1250 PEACH ST, SUITE D, SAN LUIS OBISPO, CA 93401-2837
(805) 541-0330
(805) 541-6809
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A69516
CA
Other
Enumeration date
12/06/2005
Last updated
04/18/2012
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