Individual
JASON P WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 TELEGRAPH AVE STE 2102, OAKLAND, CA 94609-3210
(510) 286-8160
Mailing address
3100 TELEGRAPH AVE STE 2102, OAKLAND, CA 94609-3210
(510) 286-8160
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95009795
CA
363LF0000X
Family Nurse Practitioner
95009795
CA
Other
Enumeration date
01/20/2019
Last updated
10/03/2019
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