Individual
ANDREA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48920 DENTON RD APT 24, BELLEVILLE, MI 48111-2159
(734) 672-2159
Mailing address
48920 DENTON RD APT 24, BELLEVILLE, MI 48111-2159
(734) 672-2159
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113029
MI
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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