Individual
MICHAEL WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
148 W DOUGLAS AVE, EL CAJON, CA 92020-4402
(619) 726-9729
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
32698
CA
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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