Individual
DALISA RANELLE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7071 EASTLAWN DR, APT 1, CINCINNATI, OH 45237-4125
(513) 293-2116
Mailing address
7071 EASTLAWN DR, APT 1, CINCINNATI, OH 45237-4125
(513) 293-2116
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
2043497
KY
164W00000X
Licensed Practical Nurse
Primary
PN-123128-IV
OH
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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