Individual
ASHLEY WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
100 CROSSING BLVD, FRAMINGHAM, MA 01702-5555
(888) 964-6681
Mailing address
100 CROSSING BLVD, FRAMINGHAM, MA 01702-5555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5551
MA
Other
Enumeration date
07/12/2022
Last updated
07/18/2022
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