Individual
SHASHANNA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2317 CHAPEL HILL LN, ARLINGTON, TX 76014-1009
(817) 408-6254
Mailing address
2317 CHAPEL HILL LN, ARLINGTON, TX 76014-1009
(817) 408-6254
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/12/2016
Last updated
06/12/2016
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