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Individual

MR. SELWYN A WALKER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7601 DUNOLLIE DR, CHESTERFIELD, VA 23838-5354
(804) 536-0031
Mailing address
7601 DUNOLLIE DR, CHESTERFIELD, VA 23838-5354
(804) 536-0031

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
UGU-2813
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051664
VA
01
0608981
NON-MEDICARE
VA
Enumeration date
04/28/2021
Last updated
04/28/2021
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