Individual
SHUNDRYIA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2770 KORINK AVE, SAN DIEGO, CA 92111-5707
(334) 513-9161
Mailing address
2770 KORINK AVE, SAN DIEGO, CA 92111-5707
(334) 513-9161
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
7455399
AL
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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