Individual
JENNIFER WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
122 EAST AVENUE, THOMAS, WV 26292-0122
(304) 516-7251
Mailing address
PO BOX 631, DAVIS, WV 26260-0631
(304) 516-7251
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
96213
WV
171100000X
Acupuncturist
U01959
MD
Other
Enumeration date
06/03/2014
Last updated
06/04/2014
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