Individual
ANASTASIA WALLOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1007 GOODYEAR AVE, GADSDEN, AL 35903-1100
(254) 494-4000
Mailing address
1601 ROCKY BRANCH DR, FOREST, VA 24551-2949
(832) 585-9665
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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