NPI 1083316145

Mailla T Walker

Practitioner Peer Specialist Roseville, CA

Practice location

Address: 101 Cirby Hills Dr, Roseville, CA 95678-4360
Phone: (916) 919-3660
Mailing address: 2514 Fairfield St, Sacramento, CA 95815-2416

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence MPSS-8XZUYG (CA)

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Registry record

NPI: 1083316145
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2023
Record last updated: 6 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.