Individual
STEWART MIMS WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 HACKBERRY LN, DURHAM, NC 27705-7947
(919) 489-5355
Mailing address
1000 HACKBERRY LN, DURHAM, NC 27705-7947
(919) 490-1815
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1286
NC
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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