MICA WALTHALL, LPN

LPN

Licensed Practical Nurse

NPI: 1417220625Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

270772(NY)

Contact & Hours

Address: 2 MALER LN
PATCHOGUE, NY 11772
Phone: (631) 639-6682

Quick Facts

NPI: 1417220625
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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