Individual
MONICA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
603 MEADOW GLEN PKWY, FAIRBURN, GA 30213-4242
(937) 305-1156
Mailing address
603 MEADOW GLEN PKWY, FAIRBURN, GA 30213-4242
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
092930
GA
Other
Enumeration date
07/15/2017
Last updated
07/03/2020
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