Individual
BONNIE LEE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
120 LAKE CIRCLE DR, GREENVILLE, SC 29609-6622
(570) 581-0675
Mailing address
120 LAKE CIRCLE DR, GREENVILLE, SC 29609-6622
(570) 581-0675
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
236405
SC
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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