Individual
DENNISE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 E MAIN ST, BARSTOW, CA 92311-2354
(442) 347-2800
Mailing address
12760 HESPERIA RD STE B, VICTORVILLE, CA 92395-8305
(760) 951-5552
(760) 951-5535
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F1115423
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1115423
STATE LICENSE
CA
Enumeration date
01/06/2016
Last updated
05/12/2021
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