Individual
ASHLEY LYNN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 28TH ST W APT 13, WILLISTON, ND 58801-2448
(701) 770-5164
Mailing address
718 8TH ST W, WILLISTON, ND 58801-4922
(701) 770-5164
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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