Individual
MARTHA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9101 SMITH CROSSING DR, KERNERSVILLE, NC 27284-0150
(336) 734-8706
Mailing address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(336) 794-6058
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
72627
ND
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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