Individual
DR. JULIENNE ANTIONETTE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
236 E WESTFIELD AVE STE 104, ROSELLE PARK, NJ 07204-2084
(908) 445-8687
(908) 259-5191
Mailing address
236 E WESTFIELD AVE STE 104, ROSELLE PARK, NJ 07204-2084
(908) 445-8687
(908) 259-5191
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00645700
NJ
152W00000X
Optometrist
TUV005881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01782214
—
NY
05
—
0513466
—
NJ
Enumeration date
03/27/2006
Last updated
06/10/2020
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