Individual
JESHANNA NICOLE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44617 S AIRPORT RD, HAMMOND, LA 70403-0311
(757) 277-5796
Mailing address
44617 S AIRPORT RD, HAMMOND, LA 70403-0311
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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