Individual
TIERA JENE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 WEDDELL ST APT 1H, COLUMBIA, SC 29223-5663
(216) 259-5295
Mailing address
207 WEDDELL ST APT 1H, COLUMBIA, SC 29223-5663
(216) 259-5295
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9995097
SC
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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