Individual
MR. E KEITH WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.V.N.
Contact information
Practice address
4965 REBEL RD, SAN DIEGO, CA 92117-1218
(858) 490-1134
Mailing address
PO BOX 34585, SAN DIEGO, CA 92163-4585
(858) 490-1134
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 261548
CA
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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