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NPI Code Detail

MEDICARE: DU' RON LA MAR WALKER

MEDICARE: DU' RON LA MAR 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
1225400000XRehabilitation Practitioner
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1609185982
Entity Type Code : Individual
Provider Name (Legal Business Name) : DU' RON LA MAR WALKER
Provider Business Mailing Address
First Line : 803 N NORTHWOOD AVE
Second Line :
City : COMPTON
State : CA
Zip : 90220-1638
Country : US
Telephone Number : 562-443-2493
Fax Number :
Provider Business Practice Location Address
First Line : 3430 COGSWELL RD
Second Line :
City : EL MONTE
State : CA
Zip : 91732-2785
Country : US
Telephone Number : 626-453-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2010
Last Update Date : 09/09/2022

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Directions to “ DU' RON LA MAR WALKER ” Practice Location

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