Individual
KENDALL ELYSE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1910 S MERIDIAN RD STE 150, MERIDIAN, ID 83642-9061
(925) 813-5110
Mailing address
1674 W HENRYS FORK DR, MERIDIAN, ID 83642-7328
(925) 813-5110
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-4033
ID
Other
Enumeration date
07/20/2023
Last updated
03/19/2024
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