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NPI Code Detail

MEDICARE: LINDA MARIE WALTERS

MEDICARE: LINDA MARIE WALTERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist17967CA

General Provider Information

NPI Number : 1598273112
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA MARIE WALTERS
Provider Business Mailing Address
First Line : 2707 VIA VIEJAS
Second Line :
City : ALPINE
State : CA
Zip : 91901-3643
Country : US
Telephone Number : 619-359-7343
Fax Number :
Provider Business Practice Location Address
First Line : 1333 N 2ND ST
Second Line :
City : EL CAJON
State : CA
Zip : 92021-3434
Country : US
Telephone Number : 619-444-4792
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2018
Last Update Date : 05/02/2019

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Directions to “ LINDA MARIE WALTERS ” Practice Location

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