Individual
ANGELICA EMA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24 AIRPORT RD, WEST LEBANON, NH 03784
(603) 298-6617
Mailing address
24 AIRPORT RD, WEST LEBANON, NH 03784-1663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112128
FL
Other
Enumeration date
01/15/2019
Last updated
07/04/2019
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