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Individual

MARY K. WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1222 PINE ST, SAINT HELENA, CA 94574-1830
(707) 963-3641
(707) 963-8462
Mailing address
1561 THIRD ST STE G, NAPA, CA 94559-2861
(707) 259-2000
(707) 259-0181

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11328
CA

Other

Enumeration date
09/02/2010
Last updated
09/02/2010
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