ELEANOR A WALLEN DPM INC
Podiatry at Vineland Ave, North Hollywood, CA

License number
California E3573
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. ELEANOR ANDREA WALLEN DPM
Title: OWNER AUTHORIZED OFFICIAL
Phone: (818) 980-3383
Address
Address
4418 Vineland Ave SUITE 215, North Hollywood, CA 91602
National Provider ID: 1841209889
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Eleanor A Wallen DPM

North Hollywood, CA

Industry:
Podiatrist's Office
Doing business as:
ELEANOR A. WALLEN, D.P.M., INC
Registration:
Apr 21, 2006
Addresses:
4418 Vineland Ave #215, North Hollywood, CA 91602
11111 Kling St, North Hollywood, CA 91602
State ID:
C2872728
Business type:
Articles of Incorporation
President:
Eleanor Andrea Wallen (President)
Agent:
Eleanor A Wallen,North Hollywood, CA 91602 (Physical)

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