Individual
MR. TAVARIUS WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
4010 GIBSON ST APT 8624, NEW ORLEANS, LA 70122-1608
(504) 722-3722
Mailing address
4010 GIBSON ST APT 8624, NEW ORLEANS, LA 70122-1608
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
171372
LA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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