person
Walter Thomas Wiswell
Student in an Organized Health Care Education/Training Program in Jacksonville, Florida
NPI 1215469382

Walter Thomas Wiswell is a Student in an Organized Health Care Education/Training Program based in Jacksonville, FL. Walter Thomas Wiswell practices in Jacksonville, FL. The NPI Number for Walter Thomas Wiswell is 1215469382 and holds a License No. (Florida).

The current practice location address for Walter Thomas Wiswell is 1818 Valencia Dr, Jacksonville, FL and can be reached out via phone at 904-434-6281.

Location: 1818 Valencia Dr, Jacksonville, FL, 32207-2533
person
Provider Profile Details
NPI Number
1215469382
Provider Name
Walter Thomas Wiswell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1818 Valencia Dr, Jacksonville, FL, 32207-2533
Phone Number
904-434-6281
Fax Number
Provider Enumeration Date
03/29/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1818 Valencia Dr
City
State
Zip
32207-2533
Phone Number
904-434-6281
Fax Number
person
Provider Business Mailing Address Details
Address
1818 Valencia Dr
City
State
Zip
32207-2533
Phone Number
904-434-6281
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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