Individual
EBONY LASHAWN AURORA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1117 S GRANT ST, STOCKTON, CA 95206-1626
(510) 388-1093
Mailing address
1117 S GRANT ST, STOCKTON, CA 95206-1626
(510) 388-1093
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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