Organization
GAME CHANGER ALLIED HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETRICIA LADIAMOND WALTON LVN (CEO)
(323) 360-3779
Entity
Organization
Contact information
Practice address
26625 ROUNDUP WAY, APPLE VALLEY, CA 92308-0542
(323) 360-3779
Mailing address
26625 ROUNDUP WAY, APPLE VALLEY, CA 92308-0542
(323) 360-3779
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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