MR. Marty Walter III, LVN
NPI #1104254994 in Santa Ana, California
Provider Information
- NPI Number
- 1104254994
- Entity Type
- Individual
- Name
- MR. Marty Walter III, LVN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Oct 15, 2013
- Last Updated
- Oct 15, 2013
Practice Location
- Address
- 550 N FLOWER ST
- City
- Santa Ana
- State
- California
- ZIP Code
- 92703-2361
- Phone
- (714) 647-6048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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