Individual
MICHELLE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 N POLLASKY AVE, CLOVIS, CA 93612-0319
(559) 978-5878
Mailing address
53 N POLLASKY AVE, CLOVIS, CA 93612-0319
(559) 978-5878
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
53118
CA
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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