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Individual

CONNOR ROSS WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8909 GRAVELLY LAKE DR SW STE D, LAKEWOOD, WA 98499-3101
(360) 323-2605
Mailing address
3110 N 24TH ST, TACOMA, WA 98406-6618
(217) 254-5528

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
WA

Other

Enumeration date
08/17/2022
Last updated
08/17/2022
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