Individual
SHAR THERESE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 E 16TH ST, COVINGTON, KY 41014-1304
(513) 628-0922
Mailing address
320 E 16TH ST, COVINGTON, KY 41014-1304
(513) 628-0922
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400324370104
OH
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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