Individual
KRISTY WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N SHORELINE BLVD STE 700, CORPUS CHRISTI, TX 78401-3771
(361) 882-1003
Mailing address
PO BOX 211, WEESATCHE, TX 77993-0211
(361) 491-0114
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
107417
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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