Provider Demographics
NPI:1952570392
Name:WALKER, TOMESHA
Entity Type:Individual
Prefix:MRS
First Name:TOMESHA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25200 ROCKSIDE RD
Mailing Address - Street 2:STE. #524 C
Mailing Address - City:BEDFORD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-1941
Mailing Address - Country:US
Mailing Address - Phone:440-232-5235
Mailing Address - Fax:
Practice Address - Street 1:25200 ROCKSIDE RD
Practice Address - Street 2:STE. #524 C
Practice Address - City:BEDFORD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44146-1941
Practice Address - Country:US
Practice Address - Phone:440-232-5235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No172V00000XOther Service ProvidersCommunity Health Worker