MEGAN D WALLA

SAN CLEMENTE, CA
NPI1215043880
Former NameMEGAN D SAMPSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  16731)
Enumeration Date2006-08-23
Last Update Date2009-03-13
Business Address
-- MEGAN D WALLA
226 EL ORIENTE
SAN CLEMENTE, CA 92672-3140
Phone number: 714-425-2287
Mailing Address
-- MEGAN D WALLA
226 EL ORIENTE
SAN CLEMENTE, CA 92672-3140
Phone number: 714-425-2287
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