Individual
BRENDA WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
381 ROYAL OAK BLVD, RICHMOND HEIGHTS, OH 44143-1709
(216) 486-6193
Mailing address
17705 WINSLOW RD, SHAKER HEIGHTS, OH 44122-4857
(216) 752-0054
(216) 752-0054
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 066863
OH
Other
Enumeration date
05/21/2007
Last updated
07/09/2007
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