Individual
CHRISTINE WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3221 16TH AVE SW, CEDAR RAPIDS, IA 52404-1453
(319) 396-2300
Mailing address
410 CAMDEN ST, NORTH LIBERTY, IA 52317-7604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
076948
IA
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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