Individual
MRS. DITA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8913 ROSEDOWN PL, SHREVEPORT, LA 71118-2308
(318) 560-0056
Mailing address
8913 ROSEDOWN PL, SHREVEPORT, LA 71118-2308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1093691
TX
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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