Individual
JEANMARIE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
325 CHESTNUT ST STE 210, PHILADELPHIA, PA 19106-2602
(267) 322-7701
Mailing address
325 CHESTNUT ST STE 210, PHILADELPHIA, PA 19106-2602
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN631498
PA
Other
Enumeration date
05/05/2016
Last updated
07/29/2016
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