Individual
ASHLEY WALLINGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 669-5999
Mailing address
1136 S RADLEY, WEST DES MOINES, IA 50266-6774
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
147290
IA
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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