MARK S. WALLEN, D.P.M., INC.

SANTA MONICA, CA
NPI1629009055
Entity TypeOrganization
Authorized ContactMARK S. WALLEN
Owner
310-828-0122
Organization Subpart ?No
Primary Taxonomy213ES0131X 
(Licence: CA  E 3104)
Enumeration Date2006-07-05
Last Update Date2009-11-13
Business Address
MARK S. WALLEN, D.P.M., INC.
2001 SANTA MONICA BLVD 1190 W
SANTA MONICA, CA 90404-2102
Phone number: 310-828-0122
Mailing Address
MARK S. WALLEN, D.P.M., INC.
2001 SANTA MONICA BLVD 1190 W
SANTA MONICA, CA 90404-2102
Phone number: 310-828-0122
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