ALYSSA RUTH WALLER

GREEN BAY, WI
NPI1215805585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  10302-16)
Enumeration Date2025-10-28
Last Update Date2025-10-28
Business Address
ALYSSA RUTH WALLER
1245 MAIN ST
GREEN BAY, WI 54302-1306
Phone number: 920-965-0831
Mailing Address
ALYSSA RUTH WALLER
1245 MAIN ST
GREEN BAY, WI 54302-1306
Phone number: 920-965-0831
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