Individual
ALI WALPOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3908 JOHN STOCKBAUER DR STE D, VICTORIA, TX 77904-2455
(361) 212-6010
Mailing address
3908 JOHN STOCKBAUER DR STE D, VICTORIA, TX 77904-2455
(360) 212-6010
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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