Individual
JOHNNY B WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11340 BLONDO ST, OMAHA, NE 68164-3815
(402) 889-5686
Mailing address
6258 S 36TH AVE, OMAHA, NE 68107-3824
(402) 718-6359
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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