Individual
MISS MAILLA T WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(916) 919-3660
Mailing address
2514 FAIRFIELD ST, SACRAMENTO, CA 95815-2416
(916) 982-9657
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-8XZUYG
CA
Other
Enumeration date
03/21/2023
Last updated
01/06/2025
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