Individual
NICOLE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
836 S HAMILTON RD, COLUMBUS, OH 43213-3002
(614) 531-9821
Mailing address
69 SANTA MARIA LN # 69, COLUMBUS, OH 43213-1844
(380) 212-7906
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
110134
OH
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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