Individual
MS. REBECCA JEAN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 E 276TH ST APT E, EUCLID, OH 44132-3083
(216) 835-7834
Mailing address
1300 E 276TH ST APT E, EUCLID, OH 44132-3083
(216) 835-7834
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2933802
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2933802
—
OH
Enumeration date
05/27/2014
Last updated
05/27/2014
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