Individual
SHANNON M WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
100 7TH ST STE 104, PORTSMOUTH, VA 23704-4800
(757) 330-5248
(757) 330-5290
Mailing address
100 7TH ST STE 104, PORTSMOUTH, VA 23704-4800
(757) 330-5248
(757) 330-5290
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
CCMA-2262
VA
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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