Individual
BRIAN RICHARD WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6 CENTERPOINTE DR STE 200, LA PALMA, CA 90623-2533
(123) 456-7890
Mailing address
6 CENTERPOINTE DR STE 200, LA PALMA, CA 90623-2533
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95028663
CA
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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