WAIDE EDWARD WALKER

CLOVIS, NM
NPI1588738611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2006-11-20
Last Update Date2009-09-11
Business Address
Mr. WAIDE EDWARD WALKER BS
121 TOWNSGATE PLZ
CLOVIS, NM 88101-3714
Phone number: 575-742-2620
Mailing Address
Mr. WAIDE EDWARD WALKER BS
1008 WEST SPRUCE
PORTALES, NM 88130
Phone number: 505-356-8175