MEDICARE: CYNTHIA L WALKER

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	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1225226087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA L WALKER

Provider Business Mailing Address
First Line	:	2422 JUAN TABO BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-1818
Country	:	US
Telephone Number	:	505-299-8833
Fax Number	:	505-299-1101

Provider Business Practice Location Address
First Line	:	2422 JUAN TABO BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-1818
Country	:	US
Telephone Number	:	505-299-8833
Fax Number	:	505-299-1101

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

Provider Enumeration Date	:	10/05/2007
Last Update Date	:	10/05/2007

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