Individual
JORDAN ALEXANDER WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-2744
Mailing address
950 LARRABEE ST APT 104, WEST HOLLYWOOD, CA 90069-3918
(707) 293-0527
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86154678
CA
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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