Provider Information for 1790988699
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Ms. XANTHIPPE B. WALKER M.F.T., R.A.S., A.T.
Sex: Female
NPI: 1790988699
Last Updated: 2022-02-11
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||||
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NPI | 1790988699 | ||||||||||||||
Enumeration Date | 2007-06-07 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | YES | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 1585 62ND ST SUITE 8039 EMERYVILLE, CA 94662-7099 United States Phone: 510-859-4407 | Fax:510-547-8923 | ||||||||||||||
Primary Practice Address | 15970 E 14TH ST SUITE 4 SAN LEANDRO, CA 94578-3018 United States Phone: 510-859-4407 | Fax:510-547-8923 | ||||||||||||||
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