Individual
DR. JACQUELYN MARTIN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
831 S EL MOLINO AVE, PASADENA, CA 91106-4411
(626) 795-8495
(626) 449-6440
Mailing address
831 S EL MOLINO AVE, PASADENA, CA 91106-4411
(626) 795-8495
(626) 449-6440
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
C40096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C40096
MEDICAL BOARD OF CA
CA
Enumeration date
01/01/2013
Last updated
01/01/2013
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