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Individual

MISS BRENDA MAUD WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
11727 193RD ST, PH, SAINT ALBANS, NY 11412-3305
(917) 515-0877
Mailing address
11727 193RD ST, PH, SAINT ALBANS, NY 11412-3305
(917) 515-0877

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
638197-1
NY

Other

Enumeration date
06/21/2011
Last updated
06/21/2011
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