Individual
SANDRA SUE WALZBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2191 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4534
(805) 788-2063
(805) 781-1372
Mailing address
2191 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4534
(805) 788-2063
(805) 781-1372
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
283746
CA
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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