Individual
ANDREA VIOLA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 EAST ROOSEVELT STREET, STOCKTON, CA 95205
(209) 390-7887
Mailing address
1225 EAST ROOSEVELT STREET, SAN JOAQUIN COUNTY, STOCKTON, CA 95205
(209) 390-7887
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
000000
CA
310400000X
Assisted Living Facility
Primary
0000000
CA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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