Individual
DEBRA WALHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 448-1500
(415) 892-8732
Mailing address
300 PROFESSIONAL CENTER DR, STE 311, NOVATO, CA 94947-4334
(415) 448-1500
(415) 892-8732
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G069664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G69664
DHS LICENSE
CA
Enumeration date
05/27/2005
Last updated
12/15/2021
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