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Individual

JOHNETTA J WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4152 MACARTHUR BLVD, OAKLAND, CA 94619-1906
(510) 812-2428
Mailing address
3542 FRUITVALE AVE # 212, OAKLAND, CA 94602-2327
(510) 812-2428

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
KK300035
CA

Other

Enumeration date
01/24/2021
Last updated
01/24/2021
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