Provider Demographics
NPI:1053786475
Name:WALKER, DEANNA LEE (DC)
Entity type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:LEE
Last Name:WALKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 I ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4441
Mailing Address - Country:US
Mailing Address - Phone:916-452-5055
Mailing Address - Fax:916-244-0606
Practice Address - Street 1:3001 I ST
Practice Address - Street 2:SUITE 115
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4441
Practice Address - Country:US
Practice Address - Phone:916-452-5055
Practice Address - Fax:916-244-0606
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-10
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor