Individual
WALTER PALKOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
ONE INDIAN HILL ROAD, WINTERHAVEN, CA 92283
(760) 572-4100
(760) 572-2133
Mailing address
PO BOX 1638, YUMA, AZ 85366
(760) 572-4100
(760) 572-2133
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
NUR R 12772
AK
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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