Individual
ANTONIA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1543 N MOUNTAIN VIEW AVE APT 3, SAN BERNARDINO, CA 92405-4659
(951) 204-4836
Mailing address
1543 N MOUNTAIN VIEW AVE APT 3, SAN BERNARDINO, CA 92405-4659
(951) 204-4836
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
10/06/2025
Last updated
10/24/2025
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