Individual
MRS. JULIE ANNE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMPSS
Contact information
Practice address
505 M ST, RIO LINDA, CA 95673-2218
(831) 212-1935
Mailing address
1213 ELM TERRACE WAY, WHEATLAND, CA 95692-9315
(831) 212-1935
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-LCXHGA
CA
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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