Individual
SENECA WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 DAPHNE AVE, DAPHNE, AL 36526-4298
(251) 625-2663
(251) 625-3198
Mailing address
1505 DAPHNE AVE, DAPHNE, AL 36526-4298
(251) 625-2663
(251) 625-3198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-130973
AL
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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