MARK S WALLEN

SANTA MONICA, CA
NPI1306811674
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: CA  E3104)
Enumeration Date2006-02-21
Last Update Date2020-01-21
Business Address
Dr. MARK S WALLEN DPM
2001 SANTA MONICA BLVD #1190W
SANTA MONICA, CA 90404-2102
Phone number: 310-828-0122
Mailing Address
Dr. MARK S WALLEN DPM
1260 15TH ST STE 1014
SANTA MONICA, CA 90404-1145
Phone number: 310-828-0122
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