Individual
OMANA A WALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 846-2266
Mailing address
14302 MANDOLIN DR, ORLANDO, FL 32837-7037
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2507152
FL
Other
Enumeration date
07/10/2017
Last updated
03/17/2018
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