Individual
LORETTA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 N 9TH ST, GROVER BEACH, CA 93433-2122
(805) 481-1523
(805) 481-1269
Mailing address
PO BOX 336, GROVER BEACH, CA 93483-0336
(805) 481-1523
(805) 481-1269
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAD1922
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAD1922
STATE LICENSE
AR
Enumeration date
04/16/2007
Last updated
07/08/2007
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