Individual
LAQUESHA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 CREEKSIDE WAY, MONROE, GA 30656-7013
(678) 551-9734
Mailing address
905 CREEKSIDE WAY, MONROE, GA 30656-7013
(678) 551-9734
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
241951
GA
Other
Enumeration date
11/17/2020
Last updated
08/28/2023
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