WALTER THOMAS

CULVER CITY, CA
NPI1154516789
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA15198)
Enumeration Date2007-09-06
Last Update Date2007-09-06
Business Address
-- WALTER THOMAS PAC
12044 BRADDOCK DR
CULVER CITY, CA 90230-5811
Phone number: 310-398-6408
Mailing Address
-- WALTER THOMAS PAC
12044 BRADDOCK DR
CULVER CITY, CA 90230-5811
Phone number: 310-398-6408
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