Individual
NICOLE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 N LANTANA ST STE 259, CAMARILLO, CA 93010-9008
(805) 910-8153
Mailing address
10200 SEPULVEDA BLVD STE 170, MISSION HILLS, CA 91345-3322
(818) 895-9707
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
04/16/2024
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