Individual
AMANDA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
4801 MCMAHON BLVD NW, SUITE 245, ALBUQUERQUE, NM 87114-5090
(505) 727-2300
Mailing address
4801 MCMAHON BLVD NW, SUITE 245, ALBUQUERQUE, NM 87114-5090
(505) 727-2300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN004056
PA
133V00000X
Registered Dietitian
Primary
LD-1123
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22180079
—
NM
Enumeration date
04/17/2014
Last updated
02/16/2017
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