Individual
DR. AMY J WALPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12523 LIMONITE AVE STE 460, MIRA LOMA, CA 91752-3668
(951) 685-9645
Mailing address
1119 NEATHERLY CIR, CORONA, CA 92880-1240
(714) 504-2789
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14018TLG
CA
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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