Individual
PATINA LATRICE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3876
(516) 562-0100
Mailing address
3832 ROSES TRL, FAIRBURN, GA 30213-3004
(404) 402-3146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
132056
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/13/2022
Last updated
08/01/2022
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