Individual
MS. HEATHER CHRISTINE WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 EAST SULLIVAN STREET, KINGSPORT, TN 37660
(423) 279-2856
Mailing address
1041 EAST SULLIVAN STREET, KINGSPORT, TN 37660-3714
(423) 279-2856
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
07/09/2007
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