Individual
JENNA LYNNE WALSWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
1641 MILFORD WAY, BEAUMONT, CA 92223-3237
(909) 470-4821
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
837530
CA
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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