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Individual
SHELITA WALKER
Active
Individual
SHELITA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KK321310
CA
224P00000X
Prosthetist
KK321310
CA
332BC3200X
Customized Equipment (DME)
KK321310
CA
335E00000X
Prosthetic/Orthotic Supplier
KK321310
CA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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