Individual
JACQUELYN GRACE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15813 PAUL VEGA MD DR STE 100, HAMMOND, LA 70403-1431
(985) 230-2663
Mailing address
46204 RUFUS BANKSTON RD, HAMMOND, LA 70401-6104
(573) 821-0611
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/24/2019
Last updated
03/20/2025
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