Individual
LAWANNA NACOLE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
148 LUCILLE LN, BREWTON, AL 36426-5113
(251) 363-4983
Mailing address
148 LUCILLE LN, BREWTON, AL 36426-5113
(251) 363-4983
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
AL
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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