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NPI Code Detail

MEDICARE: TINITA LATRIC WALTON

MEDICARE: TINITA LATRIC WALTON
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1275830986
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINITA LATRIC WALTON
Provider Business Mailing Address
First Line : 3353 HOSPITAL RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-9622
Country : US
Telephone Number : 616-301-8000
Fax Number :
Provider Business Practice Location Address
First Line : 3353 HOSPITAL RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-9622
Country : US
Telephone Number : 616-301-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2011
Last Update Date : 01/07/2026

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Directions to “ TINITA LATRIC WALTON ” Practice Location

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