Individual
JONATHAN RANDALL WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
4414 JOHNSTON ST STE D, LAFAYETTE, LA 70503-4253
(337) 989-4327
(337) 704-2240
Mailing address
4414 JOHNSTON ST STE D, LAFAYETTE, LA 70503-4253
(337) 989-4327
(337) 704-2240
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4962
LA
Other
Enumeration date
04/08/2011
Last updated
03/03/2020
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