JOHNNIE HENDERSON WALTON

SAN JOSE, CA
NPI1366001240
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-06-13
Last Update Date2024-05-28
Business Address
Mr. JOHNNIE HENDERSON WALTON ATC
190 RYLAND ST APT 4101
SAN JOSE, CA 95110-3907
Phone number: 650-861-9715
Mailing Address
Mr. JOHNNIE HENDERSON WALTON ATC
190 RYLAND ST APT 4101
SAN JOSE, CA 95110-3907
Phone number: 650-861-9715
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