Individual
LOGAN CHARLES WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2126 SOLANO ST, CORNING, CA 96021-2713
(530) 824-4002
(530) 824-4084
Mailing address
2126 SOLANO ST, CORNING, CA 96021-2713
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95280347
CA
Other
Enumeration date
05/08/2025
Last updated
10/08/2025
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