Individual
ELEISA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32544 KNOLLWOOD LN, WESLEY CHAPEL, FL 33545-5015
(813) 695-5375
Mailing address
PO BOX 7692, WESLEY CHAPEL, FL 33545-0112
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
642507
—
FL
Enumeration date
10/17/2016
Last updated
10/17/2016
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