Individual
PATRICIA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
18366 CLARK ST # 106, TARZANA, CA 91356-3502
(818) 345-5585
Mailing address
18366 CLARK ST # 106, TARZANA, CA 91356-3502
(818) 345-5585
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E2502
CA
213ES0000X
Sports Medicine Podiatrist
E2502
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2502
CA
Other
Enumeration date
12/19/2006
Last updated
07/07/2008
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