Wal-Mart Stores INC
NPI #1235487943 in Hesperia, California
Provider Information
- NPI Number
- 1235487943
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Aug 28, 2012
- Last Updated
- Aug 30, 2012
Practice Location
- Address
- 13401 MAIN ST
- City
- Hesperia
- State
- California
- ZIP Code
- 92345
- Phone
- (760) 948-6386
Authorized Official
- Name
- DIANNA PAINTER
- Title
- ENROLLMENT SPECIALIST
- Phone
- (479) 277-1238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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