Individual
TASHA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 COTTMAN AVE, PHILADELPHIA, PA 19111-3816
(267) 547-4496
(215) 745-6511
Mailing address
1919 COTTMAN AVE, PHILADELPHIA, PA 19111-3816
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN322417
PA
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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