Individual
CHARIS WALTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 437-6717
(562) 436-1928
Mailing address
2844 E 3RD ST APT 309, LONG BEACH, CA 90814-5903
(562) 434-3805
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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