Individual
MS. LILIAN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
715 SOUTHPOINT BLVD, SUITE C, PETALUMA, CA 94954-6835
(707) 778-6019
(707) 778-6068
Mailing address
715 SOUTHPOINT BLVD, SUITE C, PETALUMA, CA 94954-6835
(707) 778-6019
(707) 778-6068
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
273589
CA
Other
Enumeration date
10/29/2007
Last updated
04/08/2008
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