Individual
WALLIS HALPERIN WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, SUITE 334, LAGUNA HILLS, CA 92653-3616
(949) 951-5437
Mailing address
23961 CALLE DE LA MAGDALENA, SUITE 334, LAGUNA HILLS, CA 92653-3616
(949) 951-5437
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9454
CA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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