Provider Demographics
NPI:1740597236
Name:WALKER, JULIA D (RD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:D
Last Name:WALKER
Suffix:
Gender:F
Credentials:RD
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Mailing Address - Street 1:3702 NEW VISION DR BLDG B
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-1703
Mailing Address - Country:US
Mailing Address - Phone:260-266-8210
Mailing Address - Fax:260-458-5636
Practice Address - Street 1:8028 CARNEGIE BLVD.,
Practice Address - Street 2:SUITE 250
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804
Practice Address - Country:US
Practice Address - Phone:260-755-6233
Practice Address - Fax:260-422-4125
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2018-08-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered