Individual
MARY CHAMBERS WALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
434 JUSTAMERE FARM RD, GREENSBORO, NC 27455-8219
(336) 209-2379
Mailing address
434 JUSTAMERE FARM RD, GREENSBORO, NC 27455-8219
(336) 209-2379
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
14427
NC
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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