Individual
PAULA S WALKER X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
349 PALM ISLAND DR, JESUP, GA 31545-7304
(912) 294-2453
Mailing address
349 PALM ISLAND DR, JESUP, GA 31545-7304
(912) 294-2453
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002870
GA
Other
Enumeration date
01/09/2018
Last updated
06/16/2018
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