Individual
CONSTANCE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
795 CAMARILLO SPRINGS RD, SUITE C, CARMARILLO, CA 93012
(805) 212-6110
Mailing address
795 CAMARILLO SPRINGS RD, STE C, CAMARILLO, CA 93012
(805) 212-6110
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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