Individual
IRINA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 602-2408
Mailing address
109 BREAKERS DR UNIT 421, MYRTLE BEACH, SC 29579-4422
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
20854
SC
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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