Individual
JUSTICE MARIE-MONAE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RTC
Contact information
Practice address
105 S MOON AVE, BRANDON, FL 33511-5109
(813) 689-7800
Mailing address
105 S MOON AVE, BRANDON, FL 33511-5109
(813) 689-7800
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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