Individual
BOBBI JO WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
326 MAYNARD SOUTH DR, WINSTON SALEM, NC 27107-2017
(336) 207-5873
Mailing address
326 MAYNARD SOUTH DR, WINSTON SALEM, NC 27107-2017
(336) 207-5873
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
68135
NC
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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