Individual
MARY A WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4132 WOODBRIDGE AVE, CLEVELAND, OH 44109-5948
(216) 849-9736
Mailing address
4132 WOODBRIDGE AVE, CLEVELAND, OH 44109-5948
(216) 849-9736
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401690870914
OH
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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