Individual
STACY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3369 HOLME AVE, PHILADELPHIA, PA 19114-3807
(267) 202-5197
Mailing address
3369 HOLME AVE, PHILADELPHIA, PA 19114-3807
(267) 202-5197
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN698094
PA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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