Individual
JAIME MICHELLE WALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8142 FIRESTONE BLVD, DOWNEY, CA 90241-4231
(562) 869-8621
Mailing address
18006 RAYMER ST, SHERWOOD FOREST, CA 91325-3160
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95036228
CA
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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