Individual
MS. VICKIE MARIE WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
64236 SECOND AVENUE, HAPPY CAMP, CA 96039-1916
(530) 493-1600
(530) 493-5364
Mailing address
PO BOX 1016, HAPPY CAMP, CA 96039-1016
(530) 493-1600
(530) 493-5364
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA59215
CA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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