Individual
MISS SHANEIKA L WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
18650 GRIGGS ST, DETROIT, MI 48221-1908
(313) 912-5606
Mailing address
18650 GRIGGS ST, DETROIT, MI 48221-1908
(313) 912-5606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704336139
MI
164W00000X
Licensed Practical Nurse
4703109868
MI
Other
Enumeration date
03/18/2014
Last updated
09/09/2021
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