Individual
JOSEPH WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
15123 BROOKHURST ST APT 301, WESTMINSTER, CA 92683-6054
(562) 441-1885
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95086604
CA
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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