Individual
MR. IAN WALTER EARLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEALTH CARE PROVIDER
Contact information
Practice address
4160 E AVENUE R APT 1-207, PALMDALE, CA 93552-4590
(661) 234-0915
Mailing address
4160 E AVENUE R APT 1-207, PALMDALE, CA 93552-4590
(661) 234-0915
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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