Individual
TAMEKA ANDREA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN-BC, LMBT-MMC
Contact information
Practice address
3035A BOONE TRAIL, FAYETTEVILLE, NC 28304
(910) 261-6136
Mailing address
5129 THACKERAY DR, FAYETTEVILLE, NC 28306-7767
(910) 261-6136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
232402
NC
225700000X
Massage Therapist
Primary
16154
NC
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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