Individual
ESTHER MARVICE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
677 CITRUS AVE, PERRIS, CA 92571-3850
(909) 380-6330
Mailing address
677 CITRUS AVE, PERRIS, CA 92571-3850
(909) 380-6330
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
36433
CA
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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