Individual
MS. WENDELL CHEVELL WALKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
414 W 99TH ST, LOS ANGELES, CA 90003-3919
(323) 678-1055
Mailing address
414 W 99TH ST, LOS ANGELES, CA 90003-3919
(323) 678-1055
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
11/22/2005
Last updated
07/08/2007
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