| Doctor Name: | JENNIE WALKER |
| NPI Number: | 1558371229 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A73644 |
| Business Practice Address: | 85 Sierra Park Rd Mammoth Lakes, CA - 935462073 |
| Business Phone Number: | 7609343311 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2485, MAMMOTH LAKES |
| State: | CA |
| Postal Code: | 935462485 |
| Phone Number: | 7609343311 |
| Fax Number: | 7609244003 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 05/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | A73644 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |