Individual
MR. JT WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2731 NUGGET AVE, LAKE ISABELLA, CA 93240
(760) 379-3412
(760) 379-5332
Mailing address
PO BOX 2632, LAKE ISABELLA, CA 93240-2632
(760) 379-3412
(760) 379-5332
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31778
CA
Other
Enumeration date
10/14/2010
Last updated
09/28/2012
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