Individual
MRS. LA TOSHA EUGENA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
409 BLOOMBRIDGE WAY NW, MARIETTA, GA 30066-3486
(404) 242-8548
Mailing address
409 BLOOMBRIDGE WAY NW, MARIETTA, GA 30066-3486
(404) 242-8548
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
GA
Other
Enumeration date
06/09/2012
Last updated
06/09/2012
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