Individual
JENNIFER WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 WILDE RUN CT, ROSWELL, GA 30075-7199
(770) 639-8628
Mailing address
810 WILDE RUN CT, ROSWELL, GA 30075-7199
(770) 639-8628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001204374
VA
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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