ASHLEY WALLACE

WESTLAND, MI
NPI1861895203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703110011)
Enumeration Date2014-09-30
Last Update Date2014-09-30
Business Address
-- ASHLEY WALLACE
29615 HANOVER BLVD
WESTLAND, MI 48186-5179
Phone number: 734-560-3074
Mailing Address
-- ASHLEY WALLACE
29615 HANOVER BLVD
WESTLAND, MI 48186-5179
Phone number: 734-560-3074
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