Individual
MRS. ANNETTA JEAN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, MFP
Contact information
Practice address
124 PRADO PL, LAKELAND, FL 33803-3949
(863) 284-0607
Mailing address
124 PRADO PL, LAKELAND, FL 33803-3949
(863) 284-0607
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
07/09/2007
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