Individual
MRS. JENNIFER K. WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT #190
Contact information
Practice address
352 OAK STREET, LUCEDALE, MS 39452
(601) 766-0918
Mailing address
352 OAK STREET, LUCEDALE, MS 39452
(601) 766-0918
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
190
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NEEDED
—
MS
Enumeration date
06/29/2010
Last updated
05/06/2013
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