Individual
CHERYL WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6108 LYNN LAKE DR S APT D, ST PETERSBURG, FL 33712-6271
(727) 565-9772
Mailing address
6108 LYNN LAKE DR S APT D, ST PETERSBURG, FL 33712-6271
(727) 565-9772
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
234258
FL
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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