ASHA LEE WALLACE

BOLINGBROOK, IL
NPI1497213789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-06
Last Update Date2019-03-06
Business Address
ASHA LEE WALLACE
9 FIRETHORN CT
BOLINGBROOK, IL 60490-2003
Phone number: 630-923-9516
Mailing Address
ASHA LEE WALLACE
9 FIRETHORN CT
BOLINGBROOK, IL 60490-2003
Phone number: 630-923-9516