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Individual

MRS. ANNE MARIE WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
351 HOSPITAL ROAD, SUITE 406, NEWPORT BEACH, CA 92663-3506
(949) 646-7733
(949) 646-6155
Mailing address
351 HOSPITAL ROAD, SUITE 406, NEWPORT BEACH, CA 92663-3506
(949) 646-7733
(949) 646-6155

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA15511
CA
363AM0700X
Medical Physician Assistant
Primary
PA15511
CA

Other

Enumeration date
04/20/2007
Last updated
12/05/2014
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