Individual
DIAMOND TIERA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
802 DERRY CIR, VACAVILLE, CA 95688-8509
(707) 727-8326
Mailing address
802 DERRY CIR, VACAVILLE, CA 95688-8509
(707) 727-8326
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
I DONT HAVE ONE
—
Enumeration date
01/05/2021
Last updated
07/21/2022
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