Individual
CHRISTY ANNE WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPD, CD, CPDT,
Contact information
Practice address
1453 PEITZ AVE, WACONIA, MN 55387-1175
(952) 992-9995
Mailing address
1453 PEITZ AVE, WACONIA, MN 55387-1175
(952) 992-9995
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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