Individual
CARLTON WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5157 KING ST APT B, WILLIAMSON, NY 14589-9636
(315) 830-1409
Mailing address
5157 KING ST APT B, WILLIAMSON, NY 14589-9636
(315) 830-1409
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
106704860
NY
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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