Individual
MRS. BONNIE LEE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4 W DAYTON YELLOW SPRINGS RD, FAIRBORN, OH 45324-3435
(937) 879-8198
(937) 879-8196
Mailing address
4 W DAYTON YELLOW SPRINGS RD, FAIRBORN, OH 45324-3435
(937) 879-8198
(937) 879-8196
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN114613-IV
OH
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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