Individual
TERESA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 W 10TH AVE, KENNEWICK, WA 99336-6047
(509) 222-6903
Mailing address
4603 W 4TH CT, KENNEWICK, WA 99336-4184
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60095049
WA
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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