Individual
JERMAINE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5115 DUDLEY BLVD, MCCLELLAN, CA 95652-1024
(916) 566-1600
Mailing address
1032 CARABALLO DR, ROSEVILLE, CA 95747-6169
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
CA
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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