Provider Demographics
NPI:1891729307
Name:WALKER, VIRGINIA ANNE (RD)
Entity type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:ANNE
Last Name:WALKER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1423 W. AVE H-9
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-1723
Mailing Address - Country:US
Mailing Address - Phone:661-949-0668
Mailing Address - Fax:
Practice Address - Street 1:1423 W. AVE H-9
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-1723
Practice Address - Country:US
Practice Address - Phone:661-949-0668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK00606044133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered