Most Relevant Information
Provider Data
| NPI Number: | 1003354879 |
| Provider Name: | PRIMROSE WALKER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/01/2017 |
| Last Updated: | 02/14/2017 |
Provider Practice Location
2384 ATLANTIC AVE
BROOKLYN
NY
112333402
Practice Location Phone/Fax
| Phone: | 7182726074 |
| Fax: |
Provider Mailing Location
2384 ATLANTIC AVE
BROOKLYN
NY
112333402
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |