Individual
HEATHER MARIE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 W 190TH ST STE 280, GARDENA, CA 90248-4305
(310) 515-8113
Mailing address
10630 EASTBORNE AVE APT 306, LOS ANGELES, CA 90024-5986
(310) 242-3929
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95024158
CA
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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