Individual
MRS. STEPHANIE QUINN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2260 CAMELOT CIR, TUPELO, MS 38804-6000
(662) 840-2319
Mailing address
2260 CAMELOT CIR, TUPELO, MS 38804-6000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3916
MS
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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