Individual
BARBARA WALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403
(707) 576-4000
Mailing address
5868 FLORA CMN, LIVERMORE, CA 94551-5417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95008281
CA
363LP2300X
Primary Care Nurse Practitioner
95008281
CA
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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