Individual
MRS. JOHNDRELL S. WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A/M.A.
Contact information
Practice address
139 HUNTINGTON DR, KINGSLAND, GA 31548-3347
(912) 227-0015
Mailing address
139 HUNTINGTON DR, KINGSLAND, GA 31548-3347
(912) 227-0015
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
178814
FL
374U00000X
Home Health Aide
Primary
178814
FL
376K00000X
Nurse's Aide
178814
FL
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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