Provider Demographics
NPI:1871622688
Name:WALKER, LEN DANIEL JR (RN)
Entity type:Individual
Prefix:MR
First Name:LEN
Middle Name:DANIEL
Last Name:WALKER
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:8842 HALSTED ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-2214
Mailing Address - Country:US
Mailing Address - Phone:619-278-4614
Mailing Address - Fax:619-260-7219
Practice Address - Street 1:8842 HALSTED ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2214
Practice Address - Country:US
Practice Address - Phone:858-278-4614
Practice Address - Fax:619-260-7219
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA256261163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse