MEDICARE: MS. SHARON LENORE WALKER RDHAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	RDH20986	CA
2	124Q00000X	Dental Hygienist	HAP217	CA

General Provider Information

NPI Number	:	1043542640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON LENORE WALKER RDHAP

Provider Business Mailing Address
First Line	:	1250 6TH AVE
Second Line	:	APT # 416
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-4300
Country	:	US
Telephone Number	:	619-356-8718
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 6TH AVE
Second Line	:	APT # 416
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-4300
Country	:	US
Telephone Number	:	619-356-8718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2010
Last Update Date	:	11/20/2013

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