Individual
PATSY DELANE WALTER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13902 THUNDERBIRD DR APT 8B, SEAL BEACH, CA 90740-5348
(562) 500-6246
Mailing address
11740 BANDERA AVE APT 512, LOS ANGELES, CA 90059-2570
(562) 474-7132
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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