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Individual

MS. GLENNA I WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1059 GLACIER AVE, PACIFICA, CA 94044-3818
(650) 255-8195
(650) 355-4880
Mailing address
1059 GLACIER AVE, PACIFICA, CA 94044-3818
(650) 255-8195
(650) 355-4880

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
212556
CA

Other

Enumeration date
06/11/2007
Last updated
07/08/2007
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