Individual
TAKIELA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 BRUNSWICK DR APT C, ELYRIA, OH 44035-4645
(614) 302-2400
Mailing address
259 BRUNSWICK DR APT C, ELYRIA, OH 44035-4645
(614) 302-2400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
CHW.002446
OH
246RP1900X
Phlebotomy Technician
—
—
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096600
—
OH
Enumeration date
08/07/2024
Last updated
03/13/2025
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