Individual
PATRIA DULCE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1917 OLD ROUTE 66, EDGEWOOD PLAZA, EDGEWOOD, NM 87015
(505) 286-2020
(505) 286-2244
Mailing address
PO BOX 400, EDGEWOOD, NM 87015-0400
(505) 286-2020
(505) 286-2244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NM425
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P1928
—
NM
Enumeration date
08/20/2006
Last updated
07/08/2007
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