Individual
MANILDA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 MARINER BLVD, SPRING HILL, FL 34609-5691
(352) 683-2120
Mailing address
18648 WHITE PINE CIR, HUDSON, FL 34667-6670
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT8984
FL
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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