Individual
AUSTIN TYLER WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
119 DEANNA DR, GUNTOWN, MS 38849-6009
(662) 316-2009
Mailing address
3093 BROADWAY UNIT 380, OAKLAND, CA 94611-5787
(662) 316-2009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
897107
MS
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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