Individual
DENISE VANITA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3140 LEEDS ST, BALTIMORE, MD 21229-3817
(443) 802-1117
(443) 708-2991
Mailing address
3140 LEEDS ST, BALTIMORE, MD 21229-3817
(443) 802-1117
(443) 708-2991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R096747
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30AL3971
—
MD
Enumeration date
10/10/2021
Last updated
10/10/2021
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