Provider Demographics
NPI:1225226087
Name:WALKER, CYNTHIA L
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:L
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALTERNATIVE
Other - Middle Name:HEALTH
Other - Last Name:ASSOCIATES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CKP
Mailing Address - Street 1:2422 JUAN TABO BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-1818
Mailing Address - Country:US
Mailing Address - Phone:505-299-8833
Mailing Address - Fax:505-299-1101
Practice Address - Street 1:2422 JUAN TABO BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-1818
Practice Address - Country:US
Practice Address - Phone:505-299-8833
Practice Address - Fax:505-299-1101
Is Sole Proprietor?:No
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist