VIRGIL WALLER

Licensed Vocational Nurse

Active Individual
NPI: 1346889318

Practice Address

10429 INTERNATIONAL BLVD
Oakland, CA 94603

Phone: (510) 777-8448

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X No -
Licensed Vocational Nurse 164X00000X Yes 42287 (CA)

Frequently Asked Questions

NPI 1346889318 is the National Provider Identifier for VIRGIL WALLER, a Licensed Vocational Nurse provider located in Oakland, CA. This NPI was enumerated on December 23, 2019.
VIRGIL WALLER practices at 10429 INTERNATIONAL BLVD, Oakland, CA 94603.

Quick Facts

NPI
1346889318
Type
Individual
Enumerated
Dec 23, 2019
Last Updated
Aug 4, 2022

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