Individual
SETH WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1825 OLYMPIC DR, VIRGINIA BEACH, VA 23453-3720
(224) 637-5983
Mailing address
1825 OLYMPIC DR, VIRGINIA BEACH, VA 23453-3720
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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