Individual
JUSTIN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
800 GALLOWAY DR, HAMMOND, LA 70401
(919) 451-5951
Mailing address
60 CEDAR PL, HAMMOND, LA 70401-2379
(919) 451-5951
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
303063
LA
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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