Individual
MARVY BLANCAFLOR WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
5029 CALICO CT APT B, FORT IRWIN, CA 92310-2750
(916) 296-0503
Mailing address
5029 CALICO CT APT B, FORT IRWIN, CA 92310-2750
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
12/21/2018
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