Individual
MS. PAMELA WALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 BROADWAY ST, ALEXANDRIA, MN 56308-2537
(320) 766-3454
(320) 763-9010
Mailing address
1501 BROADWAY ST, ALEXANDRIA, MN 56308-2537
(320) 766-3454
(320) 763-9010
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
MN
Other
Enumeration date
02/15/2011
Last updated
07/21/2022
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