Individual
JANACE LASHELL WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 E PARK AVE APT T08, VALDOSTA, GA 31602-5316
(336) 337-0466
Mailing address
1503 E PARK AVE APT T08, VALDOSTA, GA 31602-5316
(336) 337-0466
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
03/17/2018
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