Individual
DR. JACQUELINE T. WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10522 SANTA GERTRUDES AVE, APT 26, WHITTIER, CA 90603-2762
(562) 236-7395
Mailing address
10522 SANTA GERTRUDES AVE, APT 26, WHITTIER, CA 90603-2762
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5166637-9934
UT
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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