Individual
ELETHA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMP
Contact information
Practice address
215 WALKER SMITH RD, FLORENCE, MS 39073
(601) 954-6831
Mailing address
210 WALKER SMITH RD, FLORENCE, MS 39073-8444
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1569
MS
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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