Individual
ROSANNA L WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
714 AVENUE C, FORT PIERCE, FL 34950-4189
(772) 462-3800
Mailing address
5150 NW MILNER DR, PORT SAINT LUCIE, FL 34983-3392
(772) 462-3800
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH24761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH24761
DENTAL LICENSE
FL
Enumeration date
03/27/2020
Last updated
03/27/2020
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