Individual
MR. MARK J WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6282 W HARDSCRABBLE MESA RD, PINE, AZ 85544-5240
(928) 399-1567
Mailing address
PO BOX 782, PINE, AZ 85544-0782
(928) 399-1567
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27398
AZ
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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