Individual
TALIA WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5700 OLD RICHMOND AVE, RICHMOND, VA 23226-1828
(883) 782-2229
Mailing address
719 BROOKWOOD GLEN TER, GLEN ALLEN, VA 23060-3868
(804) 852-4157
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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